Healthcare Provider Details

I. General information

NPI: 1568620912
Provider Name (Legal Business Name): JULIE MAY WILKINSON D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2008
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 ARGUS ST
WINDSOR ONTARIO
N9J3G5
CA

IV. Provider business mailing address

36016 FIVE MILE RD
LIVONIA MI
48154-1918
US

V. Phone/Fax

Practice location:
  • Phone: 519-978-3297
  • Fax:
Mailing address:
  • Phone: 734-591-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009538
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: