Individual
JO LEANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0010
(608) 263-6180
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
77301
WI
2080P0216X
Pediatric Rheumatology Physician
77301
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
10/20/2022
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