Wilson, Robin S

Wilson, Robin S is an individual health care provider with primary practice located at 17280 W North Avenue Suite 100, Brookfield WI 53045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wilson, Robin S can be contacted via phone (414) 271-2020.

Contact Information

Primary practice address
17280 W North Avenue Suite 100 Brookfield WI 53045
Phone: (414) 271-2020
Fax: (262) 786-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26077 Wisconsin

Profile Details

NPI number 1316930845
LBN Legal business name Wilson, Robin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jan 16th, 2008 - about 16 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 1316930845 NPPES
Wisconsin Other 4047311 AETNA
Wisconsin Other 26077020 AETNA
Wisconsin MEDICAID 30590400 AETNA
Wisconsin Other 2477923 AETNA

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