Individual
PETER DAVID WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 INDIA ST, THIRD FLOOR, PORTLAND, ME 04101-4250
(207) 619-4260
Mailing address
95 INDIA ST, THIRD FLOOR, PORTLAND, ME 04101-4250
(207) 619-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10902
ME
Other
Enumeration date
11/06/2006
Last updated
10/10/2012
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