Individual
JARED T WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
81 MEDICAL CENTER DR, SUITE 2100, BRUNSWICK, ME 04011-2690
(207) 725-4008
(207) 725-5749
Mailing address
81 MEDICAL CENTER DR, SUITE 2100, BRUNSWICK, ME 04011-2690
(207) 725-4008
(207) 725-5749
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD 1060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435660599
—
ME
Enumeration date
07/16/2007
Last updated
02/10/2014
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