Individual
DR. MICHAEL WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-0321
Mailing address
1 SHIELDS AVE, DAVIS, CA 95616-5270
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
G064098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G064098
STATE MEDICAL LICENSE
CA
Enumeration date
04/02/2010
Last updated
03/07/2023
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