Individual
TYLER JAMES WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
Mailing address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11023343A
IN
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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