Individual
JAY M WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353
Mailing address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
46586
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13792
DEAN CARE HMO
—
01
—
2001237
PHYSICIANS PLUS HMO
WI
05
—
3457900
—
WI
01
—
391156156
TAX ID
—
01
—
39115615618
UNITY HMO
—
01
—
46250
NETWORK HEALTH PLAN
WI
01
—
P00134868
RAIL ROAD MEDICARE
WI
01
—
WI0120
JOHN DEERE HEALTH PLAN
—
Enumeration date
07/14/2006
Last updated
11/17/2022
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