Individual
JOHN DAVID WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 S BRYANT AVE STE 101, EDMOND, OK 73034-6330
(405) 622-3063
(855) 680-8890
Mailing address
105 S BRYANT AVE STE 101, EDMOND, OK 73034-6330
(405) 622-3063
(855) 680-8890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14808
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33487
STATE MEDICAL LICENSE
GA
Enumeration date
01/24/2007
Last updated
03/07/2023
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