Wilkerson, Michael Dee

Wilkerson, Michael Dee is an individual health care provider with primary practice located at 1900 Medi Park Dr , Amarillo TX 79106-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wilkerson, Michael Dee can be contacted via phone (806) 355-9447.

Contact Information

Primary practice address
1900 Medi Park Dr Amarillo TX 79106-2104
Fax: (806) 356-9251
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X F9067 Texas

Profile Details

NPI number 1407847668
LBN Legal business name Wilkerson, Michael Dee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 31st, 2019 - about 5 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 1407847668 NPPES
Texas MEDICAID 126320402

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