Wilson, Robert Leeson

Wilson, Robert Leeson is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wilson, Robert Leeson can be contacted via phone (920) 731-8900.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Phone: (920) 731-8900
Fax: (920) 225-1479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26620-020 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26620-020 Wisconsin

Profile Details

NPI number 1568413466
LBN Legal business name Wilson, Robert Leeson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 28th, 2011 - about 13 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 1568413466 NPPES
Wisconsin MEDICAID 30638900

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