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Individual
DR. WILFRED E WATKINS
Active
Individual
DR. WILFRED E WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M2768
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002409100
—
ID
01
—
1370335
MEDICARE CLINIC NUMBER
ID
01
—
1598811945
NPI CORPORATION NUMBER
ID
01
—
1710981162
INDIVIDUAL NPI
ID
Enumeration date
06/13/2005
Last updated
10/12/2010
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