Individual
MR. MICHAEL ORLYN WILKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA., L.P.
Contact information
Practice address
408 SAINT PETER ST, SUITE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Mailing address
408 SAINT PETER ST, SUITE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LP0322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107383
UCARE
—
01
—
65-20851
MEDICA
—
01
—
9L760WI
BC/BS
—
Enumeration date
07/27/2005
Last updated
07/08/2007
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