SearchWisconsin101YA0400X

Conner Wild, SAC

NPI 1699311670 · on the registry since 2019

Practice

Address
122 E Olin Ave Ste 275
Madison, WI 53713
Phone
(608) 228-0079
Fax
(608) 263-9045
Organisation at this address
Responsive Solutions, Inc.
Night Owl Support Systems, Llc
Golden Mend Wellness And Counseling
University Of Wisconsin System Non Payroll
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin