Justin O Wilson, AuD
Audiologist in La Crosse, WI. Individual provider (NPI-1).
NPI number1962492405
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1962492405
- Entity type
- Individual (NPI-1)
- Name
- Justin O Wilson
- Credential
- AuD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 1077 | WI | Yes |
| 231H00000X | Audiologist | 394 | IA | |
| 237700000X | Hearing Instrument Specialist | 754 | IA |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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- Andrea R Maliszewski, AUDNPI 1124218995
- Angela Shafer Manke, AUDIOLOGISTNPI 1265440606
- David E Palm, PHDNPI 1306840756
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- Harry J Peterson, MANPI 1225032675
All 19 Audiologist providers in La Crosse · All 4,035 providers in La Crosse
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