Wilson, Pamela Denise

Wilson, Pamela Denise is an individual health care provider with primary practice located at 2906 S 20Th St , Milwaukee WI 53215-3732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Pamela Denise can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
2906 S 20Th St Milwaukee WI 53215-3732
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42350 Wisconsin

Profile Details

NPI number 1083610430
LBN Legal business name Wilson, Pamela Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about last year

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 1083610430 NPPES
Wisconsin MEDICAID 34064100
Wisconsin Other 461310335
Wisconsin Other 7426373
Wisconsin Other 8130732

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