Individual
BRETT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1418 JAMESWAY, FORT ATKINSON, WI 53538-2800
(920) 568-0488
Mailing address
1418 JAMESWAY, FORT ATKINSON, WI 53538-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23305
WI
Other
Enumeration date
03/14/2006
Last updated
01/11/2023
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