Organization
CHRISTOPHER S WILSON MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER S WILSON MD (OWNER/PRESIDENT)
(414) 257-8573
Entity
Organization
Contact information
Practice address
2400 S 90TH ST, #102, WEST ALLIS, WI 53227
(414) 257-8573
(414) 257-8505
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32453700
—
WI
Enumeration date
10/20/2006
Last updated
03/25/2008
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