Individual
JOHN WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 486-4431
(906) 485-2504
Mailing address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 486-4431
(906) 485-2504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43057341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010052521
RAILROAD RETIREMENT
—
05
—
27235310
—
MI
01
—
JW057341
BLUE SHIELD
MI
Enumeration date
06/13/2006
Last updated
06/18/2009
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