Individual
JOSHUA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9102 SHORT CUT RD, LANCASTER, WI 53813-9202
(608) 723-6188
Mailing address
9102 SHORT CUT RD, LANCASTER, WI 53813-9202
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4246-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38970100
—
WI
Enumeration date
08/31/2006
Last updated
07/21/2022
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