Individual
DANIEL K WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4048 CEDAR BLUFF DR, SUITE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 347-6128
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 328-2148
(906) 643-6509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301065867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4326997
—
MI
Enumeration date
08/08/2006
Last updated
09/26/2019
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