| Doctor Name: | MR. WILLIAM A. WILKE |
| NPI Number: | 1447464169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW,CADC,CCS1 |
| License Number: | 12702-131 |
| Business Practice Address: | W247s10395 Center Dr Mukwonago, WI - 531499166 |
| Business Phone Number: | 2626625900 |
| Business Fax Number: | 2626625988 |
| Mailing Address: | 1735 Lakeview Ave, SOUTH MILWAUKEE |
| State: | WI |
| Postal Code: | 531723429 |
| Phone Number: | 4147643058 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12702-131 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |