Individual
MARK A WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MAINE ST STE C, LAWRENCE, KS 66044-1396
(785) 843-3738
(785) 843-6439
Mailing address
1715 E 1117 RD, LAWRENCE, KS 66049-9705
(785) 820-1927
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
04-30509
KS
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2018030469
MO
Other
Enumeration date
07/08/2005
Last updated
02/26/2026
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