Individual
DR. PATRICIA A WILKERSON-UDDYBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
1671 WELLESLEY DR, DETROIT, MI 48203-1479
(313) 366-0071
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301057563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW057563
BC/BS OF MI
MI
Enumeration date
03/28/2006
Last updated
07/08/2007
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