Individual
MR. MORRIS JACK WILKENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 FOX SPRING CT, OAKTON, VA 22124-2657
(703) 626-0776
Mailing address
10004 FOX SPRING CT, OAKTON, VA 22124-2657
(703) 626-0776
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101031061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006135
ANTHEM
VA
05
—
010169844
—
VA
01
—
4284210
AETNA
VA
Enumeration date
07/24/2006
Last updated
04/28/2014
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