Individual
DR. STEPHEN ALEXANDER WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2414
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.120413
OH
2084P0805X
Geriatric Psychiatry Physician
35.120413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116468
—
OH
05
—
7100373030
—
KY
Enumeration date
04/21/2010
Last updated
10/04/2021
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