Individual
DAVID C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
(920) 738-6507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
813-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518916352
—
WI
Enumeration date
05/09/2006
Last updated
02/21/2022
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