Individual
JOSEPH WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3153
Mailing address
725 STOUT AVE, CINCINNATI, OH 45215-2733
(607) 215-3488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
681563
NY
367500000X
Certified Registered Nurse Anesthetist
0020897
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
681563
NY
Other
Enumeration date
05/01/2020
Last updated
12/20/2023
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