Individual
JOSEPH FRANK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
3675 MARY LOU LN, MELBOURNE, FL 32934-8389
(321) 243-5228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9305671
FL
Other
Enumeration date
03/23/2016
Last updated
10/24/2019
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