Individual
ANNE E WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 WILLIAMS DR, SUITE 210, GEORGETOWN, TX 78628-2764
(512) 368-4944
(512) 869-0964
Mailing address
101 COLORADO ST, APT 2207, AUSTIN, TX 78701-4103
(805) 305-3863
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
P1714
TX
207ZP0101X
Anatomic Pathology Physician
A92649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A926490
—
CA
05
—
GR0058760
—
CA
Enumeration date
06/16/2006
Last updated
11/27/2012
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