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Individual

DR. SPENCER VANB WILKING

Active
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Individual

DR. SPENCER VANB WILKING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53519
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
53519
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053519
TUFTS HEALTH PLAN
MA
05
—
3002551
—
MA
01
—
J05095
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
09/11/2025
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