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Individual

MARC L WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3493
WI
207Q00000X
Family Medicine Physician
64412
MN
207Q00000X
Family Medicine Physician
75952
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770543837
MN
Enumeration date
03/24/2006
Last updated
12/01/2023
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