Individual
LAWRENCE CHARLES WILKERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
737 BROADWAY NORTH, FARGO, ND 58122-0170
(701) 234-6076
(701) 234-7230
Mailing address
SANFORD HEALTH 801 BROADWAY NORTH, FARGO, ND 58122-0170
(701) 234-6076
(701) 234-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL22555
ND
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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