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Search › Wisconsin › 122300000X

Casey Wilson, D.D.S

NPI 1164833562 · on the registry since 2014

Practice

Address
1931 N 8th St
Sheboygan, WI 53081
Phone
(920) 783-6633
Fax
(920) 783-6635
Organisation at this address
Kurtis S Kellner Dds Sc
Lakeshore Community Health Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-28

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