Individual
DR. PENNY MARIE WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 N RIVER ROAD, FORT YATES, ND 58538
(701) 854-3831
Mailing address
PO BOX J, FORT YATES, ND 58538-0527
(701) 854-3831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7405
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSZU64ZJSB
—
ND
Enumeration date
12/27/2006
Last updated
05/06/2020
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