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NPI Code Detail

MEDICARE: SUZANNE M WILKERSON MD

MEDICARE:   SUZANNE M WILKERSON  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
1207Q00000XFamily Medicine Physician38093WI
2208M00000XHospitalist Physician38093WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649297227
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M WILKERSON MD
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-731-4101
Fax Number :
Provider Business Practice Location Address
First Line : 1818 N MEADE ST
Second Line :
City : APPLETON
State : WI
Zip : 54911-3454
Country : US
Telephone Number : 920-731-4101
Fax Number : 920-735-7618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/05/2026

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Directions to “ SUZANNE M WILKERSON MD” Practice Location

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