Individual
DR. WESAM A. BOLKHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 UNION ST, ELLSWORTH, ME 04605-1534
(207) 664-5311
Mailing address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23943
WV
207R00000X
Internal Medicine Physician
48702
KY
207R00000X
Internal Medicine Physician
52862
TN
208M00000X
Hospitalist Physician
Primary
48702
KY
208M00000X
Hospitalist Physician
MD22886
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101259122
STATE LICENSE
VA
01
—
04-41536
STATE LICENSE
AL
01
—
0L025959A
STATE LICENSE
IN
01
—
2015-02417
STATE LICENSE
NC
01
—
2015039932
STATE LICENSE
MO
01
—
23943
STATE LICENSE
WV
01
—
35.130818
STATE LICENSE
OH
01
—
48702
STATE LICENSE
KY
01
—
51128
STATE LICENSE
AZ
01
—
52862
STATE LICENSE
TN
01
—
MD22886
STATE LICENSE
ME
01
—
MD455359
STATE LICENSE
PA
01
—
ME124779
STATE LICENSE
FL
01
—
Q7150
STATE LICENSE
TX
Enumeration date
05/10/2007
Last updated
06/20/2024
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