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Individual

MARTIN F WILKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
89 SYLVANIA DR FL 2, BEAVERCREEK, OH 45440
(937) 427-8900
(937) 427-1710
Mailing address
89 SYLVANIA DR FL 2, BEAVERCREEK, OH 45440-3282
(937) 427-8900
(937) 427-1710

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.097206
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35097206
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3151048
OH
Enumeration date
06/29/2007
Last updated
12/04/2018
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