Search › Wisconsin › 1223S0112X
Bernadette Wilson, DDS MD
NPI 1861592529 · on the registry since 2006
Practice
- Address
- 430 Main St
Green Bay, WI 54301 - Phone
- (920) 431-0345
- Fax
- (920) 431-0567
- Clinicians at this address
- 31
Additional practice sites
- 711 E 13th St Ste 101, Whitefish, MT
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
204E00000X
204E00000X - Licence states on file
- MT, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-06
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