Individual
TERRENCE D WILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E DOUGLAS RD STE 200, MISHAWAKA, IN 46545-1465
(574) 272-5347
(574) 272-8617
Mailing address
121 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617-2924
(574) 233-3123
(574) 233-3125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01048976A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01048976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201054420
—
IN
05
—
4840231
—
MI
Enumeration date
05/17/2006
Last updated
01/13/2025
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