Individual
DR. ERIC P WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
(215) 707-8028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
239566
NY
207L00000X
Anesthesiology Physician
35358
IA
207L00000X
Anesthesiology Physician
Primary
MD073094L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432872
—
IA
01
—
12001
WELLMARK BCBS
IA
Enumeration date
09/27/2005
Last updated
04/20/2018
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