Individual
DR. JUSTIN WIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1009
(843) 792-2322
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2322
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD43396
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD93647
SC
Other
Enumeration date
06/16/2011
Last updated
04/02/2025
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