Individual
WILLIAM CHRISTIAN WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 STATE ST, SUITE 301, ERIE, PA 16507-1427
(814) 877-7907
(814) 877-6791
Mailing address
717 STATE ST, SUITE 16, ERIE, PA 16501-1341
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD010269E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00051996001
UNIVERA
NY
05
—
0007249400003
—
PA
01
—
01862188
NY MEDICAID
NY
01
—
120701
BLUE SHIELD
PA
01
—
212712
UPMC
PA
01
—
2221232
OH MEDICAID
OH
01
—
522600
AETNA
PA
01
—
66434
UNISON
PA
01
—
P000955
GATEWAY
PA
01
—
P00170328
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
05/15/2008
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