Individual
MR. SHAWN C WILKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5704
(216) 839-4905
Mailing address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5704
(216) 839-4905
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.093559
OH
207W00000X
Ophthalmology Physician
D0065667
MD
207W00000X
Ophthalmology Physician
Primary
ME117170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010149500
—
FL
05
—
2956305
—
OH
01
—
P00760963
MEDICARE RAILROAD
OH
Enumeration date
03/01/2007
Last updated
07/07/2022
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