Individual
MICHAEL T WILKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3548 IDLEWILD AVE, CINCINNATI, OH 45207-1059
(734) 642-5691
Mailing address
3548 IDLEWILD AVE, CINCINNATI, OH 45207-1059
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
378482390999
OH
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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