Wilkerson, Mark D.

Wilkerson, Mark D. is an individual health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Wilkerson, Mark D. can be contacted via phone (810) 262-9429.

Contact Information

Primary practice address
1 Hurley Plz Flint MI 48503-5902
Fax: (810) 262-9229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301063412 Michigan

Profile Details

NPI number 1023114287
LBN Legal business name Wilkerson, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023114287 NPPES
Michigan MEDICAID 3423682
Michigan Other 0B51090

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