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Individual

WILLIAM SCOTT WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44555 WOODWARD AVE, SUITE 203, PONTIAC, MI 48341-5033
(248) 334-4931
(248) 858-3993
Mailing address
690 KIMBERLY ST, BIRMINGHAM, MI 48009-1117
(248) 646-4082

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301406185
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1806316611
BCBS OF MICHIGAN PIN
MI
05
2584455
MI
01
4326472
AETNA PIN
05
4749812
MI
Enumeration date
06/30/2006
Last updated
11/01/2022
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