Individual
MR. JOE NORMAN WILKES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NORTHWEST MEDICAL CENTER, 1530 US HIGHWAY 43, WINFIELD, AL 35594
(205) 487-7000
(205) 487-7645
Mailing address
226 BRANDY DRIVE, WINFIELD, AL 35594
(205) 487-4843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-094772
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-22617
BCBS AL PIN
AL
01
—
515-22751
BCBS AL -LAMAR SURG CTR
AL
Enumeration date
06/22/2006
Last updated
07/09/2007
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