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NPI Code Detail

MEDICARE: PETER SCOTT WILKINSON D.O.

MEDICARE: PETER SCOTT WILKINSON D.O.
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
1207R00000XInternal Medicine Physician1158ME

General Provider Information

NPI Number : 1578594818
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER SCOTT WILKINSON D.O.
Provider Business Mailing Address
First Line : 37 PALMER ST STE 2
Second Line :
City : CALAIS
State : ME
Zip : 04619-1305
Country : US
Telephone Number : 207-454-8233
Fax Number :
Provider Business Practice Location Address
First Line : 37 PALMER ST STE 2
Second Line :
City : CALAIS
State : ME
Zip : 04619-1305
Country : US
Telephone Number : 207-454-8233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 02/16/2017

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Directions to “ PETER SCOTT WILKINSON D.O.” Practice Location

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