Wilson, Stuart D

Wilson, Stuart D is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Surgical Oncology, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Wilson, Stuart D can be contacted via phone (414) 805-5020.

Contact Information

Primary practice address
9200 W Wisconsin Ave Surgical Oncology Milwaukee WI 53226-3522
Phone: (414) 805-5020
Fax: (414) 805-5771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14144 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 14144 Wisconsin

Profile Details

NPI number 1902858418
LBN Legal business name Wilson, Stuart D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 9th, 2012 - 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 1902858418 NPPES
Wisconsin MEDICAID 1902858418
Wisconsin Other 002000138R
Wisconsin MEDICAID 30874600

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