Wilson, Mark

Wilson, Mark is an individual health care provider with primary practice located at 5000 W National Ave , Milwaukee WI 53295-0002. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wilson, Mark can be contacted via phone (414) 384-2000.

Contact Information

Primary practice address
5000 W National Ave Milwaukee WI 53295-0002
Phone: (414) 384-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13029 Wisconsin

Profile Details

NPI number 1710004049
LBN Legal business name Wilson, Mark
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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