Individual
MICHAEL JOSHUA WAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-2000
(904) 639-2015
Mailing address
2880 OSMUNDSEN RD, FITCHBURG, WI 53711-5161
(608) 335-1509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.169314
IL
207P00000X
Emergency Medicine Physician
83615-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
04/02/2026
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