Individual
MATTHEW STEVEN WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 MERCY WAY STE 320, JOPLIN, MO 64804-4524
(417) 781-5387
Mailing address
100 MERCY WAY STE 320, JOPLIN, MO 64804-4524
(417) 781-5387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019005370
MO
Other
Enumeration date
12/20/2018
Last updated
08/24/2021
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