Organization
WILSON HEART CARE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE C WILSON MD (OWNER/PRESIDENT)
(262) 241-1441
Entity
Organization
Contact information
Practice address
1330 W TOWNE SQUARE RD, MEQUON, WI 53092-5046
(262) 241-1441
Mailing address
1330 W TOWNE SQUARE RD, MEQUON, WI 53092-5046
(262) 241-1441
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31711400
—
WI
Enumeration date
07/25/2006
Last updated
08/27/2010
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