Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 51846 | WI |
NPI | 1083680292 |
---|---|
Provider Name | Dr. Michael Wilhelm |
First Address | Middelton, WI 53562-5531 |
Second Address | Madison, WI 53792-3284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 29/01/2021 |