Individual
MICHAEL ANDREW WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20118 N 67TH AVE STE 300-610, GLENDALE, AZ 85308-4621
(623) 505-4590
Mailing address
20118 N 67TH AVE STE 300-610, GLENDALE, AZ 85308-4621
(623) 505-4590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11044A
WY
207R00000X
Internal Medicine Physician
65100
AZ
208M00000X
Hospitalist Physician
Primary
65100
AZ
Other
Enumeration date
07/10/2014
Last updated
10/13/2023
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