Individual provider · Type 1 NPI
Sean E. Wilson, DPM
Foot & Ankle Surgery Podiatrist · West Allis, WI
NPI number
1114917812
Active
Practice location
2424 S 90th St, Suite 500
West Allis, WI 53227-2455
Fax (414) 328-8686
Mailing address
19475 W North Ave, Suite 201
Brookfield, WI 53045-4199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 780025 (WI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1114917812
Sean E. Wilson, DPM's National Provider Identifier is 1114917812, issued on Oct 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in West Allis, WI. The record was last updated on Dec 10, 2020.