Wilson, Deborah A

Wilson, Deborah A is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548-9099. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Wilson, Deborah A can be contacted via phone (715) 358-1840.

Contact Information

Primary practice address
9601 Townline Rd Minocqua WI 54548-9099
Phone: (715) 358-1840
Fax: (715) 358-1331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27515 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 27515 Wisconsin

Profile Details

NPI number 1861592289
LBN Legal business name Wilson, Deborah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861592289 NPPES
Wisconsin MEDICAID 30719800

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