Individual
CATHERINE B WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
Mailing address
1019 PACIFIC AVE STE 300, ATTN: HR, TACOMA, WA 98402-4488
(253) 722-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47947-020
WI
207Q00000X
Family Medicine Physician
Primary
MD60262025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016063
—
WA
05
—
34663700
—
WI
Enumeration date
10/10/2005
Last updated
02/26/2020
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