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Individual
SCOTT WILKINSON
Active
Individual
SCOTT WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101016032
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
01
—
1063455
MCLAREN HEALTH PLAN
MI
01
—
CB9133
RAILROAD MEDICARE
—
Enumeration date
10/05/2007
Last updated
02/01/2011
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