Individual
ROBERT MICHAEL WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 DE ANZA BLVD, 131, SAN MATEO, CA 94402-3989
(650) 888-1196
Mailing address
205 DE ANZA BLVD, 131, SAN MATEO, CA 94402-3989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G15217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G152170
—
CA
Enumeration date
11/02/2006
Last updated
10/01/2016
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