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Individual

MITCHELL J. WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9571-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366092017
WI
Enumeration date
09/16/2019
Last updated
01/08/2021
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