Individual
DEBORAH A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1840
(715) 358-1331
Mailing address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1840
(715) 358-1331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27515
WI
207RR0500X
Rheumatology Physician
Primary
27515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30719800
—
WI
Enumeration date
09/25/2006
Last updated
11/16/2013
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