Pamela Denise Wilson M.D.

NPI 1083610430 - Family Medicine - 207Q00000X

NPI Details
NPI 1083610430
Gender Female
Enumeration Date 06/21/2005
Last Updated 09/12/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2906 S 20TH ST
MILWAUKEE WI, 53215-3732, US
Phone (414) 672-1353
Fax (414) 672-4265
Business Location
2906 S 20TH ST
MILWAUKEE WI, 53215-3732, US
Phone (414) 672-1353
Fax (414) 672-4265
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 42350
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According to our database, Pamela Denise Wilson M.D. NPI is 1083610430, taxonomy code is 207Q00000X and license number is 42350, license state is located at Wisconsin. Pamela Denise Wilson M.D. physically located at 2906 S 20th St, Milwaukee WI, 53215-3732. NPI Number Pamela Denise Wilson M.D. has the Individual type.

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1083610430 NPI number is provided on an as is basis without warranty of any kind. 1083610430 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Denise Wilson M.D. are for informational purposes only.