Individual
JAMES WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
(715) 423-1602
Mailing address
PO BOX 8005, WISCONSIN RAPIDS, WI 54495-8005
(715) 424-1881
(715) 423-1602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28304
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30809300
—
WI
Enumeration date
09/12/2006
Last updated
03/27/2008
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