Individual
DR. RICHARD MICHAEL WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5352
Mailing address
75 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
75579
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049810A
—
MA
Enumeration date
09/21/2006
Last updated
06/23/2017
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