Individual
JENNIFER WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1850
(406) 327-1875
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1850
(406) 327-1875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MED-PHYS-LIC-49781
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2013
Last updated
04/29/2021
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