Most Relevant Information
Provider Data
| NPI Number: | 1003063157 |
| Provider Name: | BRUCE A WILBER SAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 15433131 |
Most Important Dates
| Enumeration Date: | 08/20/2008 |
| Last Updated: | 08/20/2008 |
Provider Practice Location
N2150 KESAEHKAHTEK RD
GRESHAM
WI
541289602
Practice Location Phone/Fax
| Phone: | 7157993835 |
| Fax: | 7157993836 |
Provider Mailing Location
N2150 KESAEHKAHTEK RD
GRESHAM
WI
541289602
Provider Mailing Phone/Fax
| Phone: | 7157993835 |
| Fax: | 7157993836 |