Individual
JUSTIN O WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1077
WI
231H00000X
Audiologist
394
IA
237700000X
Hearing Instrument Specialist
754
IA
Other
Enumeration date
10/26/2005
Last updated
07/21/2022
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