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Individual

MR. TERRENCE J WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 N LAKE DR, SUITE 501, MILWAUKEE, WI 53211-4528
(414) 963-1700
(414) 963-4185
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(441) 496-3170
(414) 963-4185

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
18494
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30261200
WI
Enumeration date
11/15/2006
Last updated
06/12/2012
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