Individual
MADELYN KAYE WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(833) 756-2680
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(833) 756-2680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
337651
LA
Other
Enumeration date
07/06/2023
Last updated
07/12/2023
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