Individual
DR. DONALD L. WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8603
(573) 635-5264
(573) 556-5757
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-5191
(573) 556-5757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118054
MO
207RP1001X
Pulmonary Disease Physician
118054
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122237
BCBS
MO
01
—
409684
HEALTHLINK
MO
01
—
DA5571
RAILROAD GROUP
MO
01
—
P00063177
MEDICARE RAILROAD
MO
Enumeration date
01/18/2006
Last updated
10/18/2007
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