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Individual
DR. TIMOTHY WILLIAM WILKINS
Active
Individual
DR. TIMOTHY WILLIAM WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A102151
CA
207Q00000X
Family Medicine Physician
Primary
A102151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A102151
BLUE SHIELD
CA
05
—
00A102151
—
CA
01
—
DC206Z
MEDICARE PTAN
CA
Enumeration date
10/30/2007
Last updated
11/21/2011
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