Healthcare Provider Details

I. General information

NPI: 1326954876
Provider Name (Legal Business Name): KARLIE ANN WILKINSON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLIE TRESTAIN PA

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 GARFIELD AVE
CHEBOYGAN MI
49721-2256
US

IV. Provider business mailing address

1002 GARFIELD AVE
CHEBOYGAN MI
49721-2256
US

V. Phone/Fax

Practice location:
  • Phone: 231-268-5020
  • Fax:
Mailing address:
  • Phone: 231-268-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: