Individual
DR. MICHAEL ALAN WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7432787-2501
UT
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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