Individual
GEORGE R WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2954 SISKIYOU BLVD., MEDFORD, OR 97504
(541) 773-5541
(541) 773-5730
Mailing address
100 EAST MAIN STREET, SUITE C, MEDFORD, OR 97501
(541) 789-7000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD15223
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154245
—
OR
Enumeration date
01/05/2007
Last updated
03/25/2008
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