Individual
DR. JASMINE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 524-8164
Mailing address
122 E COLLEGE AVE STE 250, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64844-020
WI
Other
Enumeration date
03/23/2014
Last updated
07/21/2022
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