Individual
DR. MARK D. WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9429
(810) 262-9229
Mailing address
1 HURLEY PLZ, 5TH FLOOR S.O.N., FLINT, MI 48503-5902
(810) 262-9353
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301063412
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
3423682
—
MI
Enumeration date
09/15/2006
Last updated
07/17/2014
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