Wilson Wellness Group

NPI 1649218215 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1649218215
Enumeration Date 06/03/2006
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAWRENCE E LAWRENCE
Position PRESIDENT CEO
Phone (262) 657-3333
Fax (262) 657-6201
Practice Location
4625 SHERIDAN RD
KENOSHA WI, 53140-3323, US
Phone (262) 657-3333
Fax (262) 657-6201
Business Location
4625 SHERIDAN RD
KENOSHA WI, 53140-3323, US
Phone (262) 657-3333
Fax (262) 657-6201
Toxanomy
Taxonomy Code 332B00000X
License State Wisconsin
License Number 5539340001
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According to our database, Wilson Wellness Group NPI is 1649218215, taxonomy code is 332B00000X and license number is 5539340001, license state is located at Wisconsin. Wilson Wellness Group physically located at 4625 Sheridan Rd, Kenosha WI, 53140-3323. NPI Number 1033115704 has the healthcare provider type.

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1649218215 NPI number is provided on an as is basis without warranty of any kind. 1649218215 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Wellness Group are for informational purposes only.