Individual
DR. MICHAEL J. WILKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
937 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 414-3990
(434) 414-3970
Mailing address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101045495
VA
207R00000X
Internal Medicine Physician
Primary
047680
GA
207RN0300X
Nephrology Physician
047680
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000839176N
—
GA
05
—
501727676
—
GA
05
—
G47680
—
SC
Enumeration date
03/21/2006
Last updated
01/04/2022
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