Individual
DR. JEROME STANLEY WILKENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8850 LONG POINT RD, PATHOLOGY DEPARTMENT, HOUSTON, TX 77055-3006
(713) 468-0738
Mailing address
PO BOX 55008, HOUSTON, TX 77255-5008
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
009690
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D2317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI081P996
BCBS
TX
Enumeration date
12/15/2006
Last updated
03/06/2008
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