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NPI Code Detail

MEDICARE: DR. TODD THOMAS WILKE MD

MEDICARE:  DR. TODD THOMAS WILKE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35088767OH

General Provider Information

NPI Number : 1144397399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD THOMAS WILKE MD
Provider Business Mailing Address
First Line : 150 CROSS ST
Second Line :
City : AKRON
State : OH
Zip : 44311-1026
Country : US
Telephone Number : 330-996-9141
Fax Number : 330-253-0388
Provider Business Practice Location Address
First Line : 150 CROSS ST
Second Line :
City : AKRON
State : OH
Zip : 44311-1026
Country : US
Telephone Number : 330-996-9141
Fax Number : 330-253-0388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/01/2007

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Directions to “ DR. TODD THOMAS WILKE MD” Practice Location

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