Individual
DR. ARCHIE SCOTT WILKINSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2736 LAKE AVE, ASHTABULA, OH 44004-4960
(440) 992-7554
(440) 992-3962
Mailing address
2736 LAKE AVE, ASHTABULA, OH 44004-4960
(440) 992-7554
(440) 992-3962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.049861
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0556821
—
OH
Enumeration date
03/17/2006
Last updated
07/08/2007
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