Healthcare Provider Details

I. General information

NPI: 1942321138
Provider Name (Legal Business Name): CRAIG A WILKES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CREEKSIDE DR STE 3300
FOLSOM CA
95630-3486
US

IV. Provider business mailing address

PO BOX 2288
ROCKLIN CA
95677-8288
US

V. Phone/Fax

Practice location:
  • Phone: 916-633-2260
  • Fax: 916-633-2261
Mailing address:
  • Phone: 916-633-2260
  • Fax: 916-633-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE3432
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: