Individual
DR. DI WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 CHANDLER RD, #101, MUSKOGEE, OK 74403-4954
(918) 687-4411
(918) 687-4448
Mailing address
3101 CHANDLER RD, #101, MUSKOGEE, OK 74403-4954
(918) 687-4411
(918) 687-4448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149870D
—
OK
Enumeration date
07/17/2006
Last updated
07/08/2007
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