Search › Wisconsin › 1223G0001X
C Wilson, DDS
NPI 1841404969 · on the registry since 2007
Practice
- Address
- 703 S Bay Shore Dr
Suite #4
Sister Bay, WI 54234 - Phone
- (920) 854-5200
- Fax
- (920) 854-7601
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-25
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