Individual
MRS. MARGARET WALLER WILCKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N CAROLINE ST, DEPT OF ORTHOPAEDICS, BALTIMORE, MD 21287-0006
(410) 955-9300
(410) 955-1719
Mailing address
601 N CAROLINE ST, DEPT OF ORTHOPAEDICS, BALTIMORE, MD 21287-0006
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003665
MD
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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