DORTHIA D WILSON

KENOSHA, WI
NPI1669838496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  6647)
Enumeration Date2016-01-09
Last Update Date2021-11-23
Business Address
DORTHIA D WILSON NP
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-7000
Mailing Address
DORTHIA D WILSON NP
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 262-948-7000