Individual
LEE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ISU THOMAS B THIELEN STUDENT HEALTH CENTER, AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Mailing address
ISU THOMAS B THIELEN STUDENT HEALTH CENTER, AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24006
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033159
—
IA
01
—
02715
BCBS
IA
Enumeration date
12/18/2006
Last updated
10/17/2008
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