J. Michael Wilson, M.D., S.C.
LBN: J. Michael Wilson, M.D., S.C.
J. Michael Wilson, M.D., S.C. is an health care organization with primary practice located at 2025 E Newport Ave , Milwaukee WI 53211-2906. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
J. Michael Wilson, M.D., S.C. can be contacted via phone (414) 961-3300, or through Wilson, J. Michael via phone (414) 961-3300.
Contact Information
Primary practice address
2025 E Newport Ave
Milwaukee WI 53211-2906
Phone: (414) 961-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X |
Profile Details
| NPI number | 1235185596 |
|---|---|
| LBN Legal business name | J. Michael Wilson, M.D., S.C. |
| DBA Doing business as | |
| Authorized official | Wilson, J. Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235185596 | NPPES |
| Wisconsin | MEDICAID | 34337800 |
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