Wallace G Wilkerson MD

NPI 1508852542 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1508852542
Gender Male
Enumeration Date 09/26/2005
Last Updated 07/12/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
5840 W CYPRESS ST
B
TAMPA FL, 33607-7004, US
Phone (813) 286-0033
Fax (813) 282-1806
Business Location
5840 W CYPRESS ST
B
TAMPA FL, 33607-7004, US
Phone (813) 286-0033
Fax (813) 282-1806
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME0039668
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According to our database, Dr. Wallace G Wilkerson MD NPI is 1508852542, taxonomy code is 207V00000X and license number is ME0039668, license state is located at Florida. Wallace G Wilkerson MD physically located at 5840 W Cypress St, Tampa FL, 33607-7004. NPI Number Wallace G Wilkerson MD has the Individual type.

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1508852542 NPI number is provided on an as is basis without warranty of any kind. 1508852542 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace G Wilkerson MD are for informational purposes only.