Individual
MICHAEL DEE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 MEDI PARK DR, AMARILLO, TX 79106-2104
(806) 355-9447
(806) 356-9251
Mailing address
1452 N FREEDOM ROAD CT, WICHITA, KS 67230-7219
(806) 355-9447
(806) 356-9251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F9067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126320402
—
TX
Enumeration date
11/04/2005
Last updated
01/31/2019
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