Healthcare Provider Details

I. General information

NPI: 1497929384
Provider Name (Legal Business Name): JODI Y WILSKE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 UNIVERSITY DR
MARINETTE WI
54143-4110
US

IV. Provider business mailing address

3454 HALL AVE
MARINETTE WI
54143-1016
US

V. Phone/Fax

Practice location:
  • Phone: 715-735-3187
  • Fax: 715-735-5848
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number523
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: