Individual
DR. MICHELLE WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7493
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07462400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043079
—
NJ
01
—
2446864
UNITED HEALTH CARE
NJ
01
—
60009297
HORIZON NJ HEALTH
NJ
01
—
7332601
AETNA US HEALTHCARE
NJ
Enumeration date
12/18/2006
Last updated
07/08/2007
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