Individual
PETER D WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 HAMMOND RD E, TRAVERSE CITY, MI 49686-8641
(231) 947-2255
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301087379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4857490
—
MI
Enumeration date
05/10/2006
Last updated
12/05/2024
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