Individual
DR. MICHAEL A WILMINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3033 N 44TH ST STE 100, PHOENIX, AZ 85018-7227
(602) 631-3161
(602) 631-3162
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716326
—
AZ
Enumeration date
09/01/2005
Last updated
08/08/2022
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