Individual
SCOTT MICHAEL WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
(517) 432-6144
Mailing address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101024270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101024270
OSTEOPATHIC - EDUCATION LIMITED
MI
Enumeration date
06/26/2018
Last updated
06/26/2018
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