Individual
DR. MATTHEW BRIAN WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9150 OVERLAND PLZ, OVERLAND, MO 63114-6123
(314) 449-9633
(314) 449-9634
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-107047
IL
207R00000X
Internal Medicine Physician
036107047
IL
207R00000X
Internal Medicine Physician
Primary
2025045328
MO
208000000X
Pediatrics Physician
036107047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107047
—
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
05
—
1821083866
—
MO
Enumeration date
09/15/2005
Last updated
10/31/2025
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