Individual
WILLIAM M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBBS
Contact information
Practice address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Mailing address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35017-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801865860
—
WI
Enumeration date
03/14/2006
Last updated
10/31/2019
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