Individual
DR. JOHN B WILES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 HARLEM RD, STE 140, CHEEKTOWAGA, NY 14225-4031
(716) 893-0221
(716) 893-0225
Mailing address
2625 HARLEM RD, STE 140, CHEEKTOWAGA, NY 14225-4031
(716) 893-0221
(716) 893-0225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
132618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010189401
UNIVERA HEALTHCARE
—
01
—
000508227003
HEALTH NOW BLUE CROSS SHI
—
05
—
00645432
—
NY
01
—
010696
GROUP HEALTH INCORPORATED
—
01
—
1708903
INDEPENDENT HEALTH
—
Enumeration date
10/27/2005
Last updated
07/08/2007
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