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DELETRA MICHELLE WILKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3959 HIGHWAY 411, MADISONVILLE, TN 37354-4417
(423) 442-2121
(423) 545-9556
Mailing address
PO BOX 808, KINGSTON, TN 37763-0808
(865) 224-7172
(865) 224-7171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3239
TN
363AM0700X
Medical Physician Assistant
Primary
3239
TN

Other

Enumeration date
03/10/2017
Last updated
11/04/2024
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