Individual
MICHAEL WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 RUTH ST N, SAINT PAUL, MN 55119-4337
(651) 288-9616
Mailing address
6439 HUMBOLDT AVE S, RICHFIELD, MN 55423-1215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7583
LICENSE#
MN
Enumeration date
05/24/2007
Last updated
01/26/2026
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