Individual
STEVEN B WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S, SUITE 105-A, INDEPENDENCE, MO 64057-2303
(816) 833-0466
(816) 833-4155
Mailing address
19550 E 39TH ST S, SUITE 105-A, INDEPENDENCE, MO 64057-2303
(816) 833-0466
(816) 833-4155
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
101766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139680D
—
KS
05
—
206748204
—
MO
Enumeration date
09/09/2005
Last updated
04/21/2009
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