Individual
DR. NICHOLAS JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
450 MILL ST STE 102, FONTANA, WI 53125-1242
(262) 275-5005
Mailing address
1983 N SUMMIT AVE UNIT 20, MILWAUKEE, WI 53202-1387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5035-12
WI
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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