Individual
JOEL L WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102
(860) 545-2876
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421775
—
CT
05
—
001421776
—
CT
Enumeration date
11/02/2005
Last updated
05/01/2009
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