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NPI Code Detail

MEDICARE: ROBERT C WILKE M.D.

MEDICARE:   ROBERT C WILKE  M.D.
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
1208200000XPlastic Surgery Physician39891MN

General Provider Information

NPI Number : 1043222011
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT C WILKE M.D.
Provider Business Mailing Address
First Line : 6525 FRANCE AVE S STE 300
Second Line :
City : EDINA
State : MN
Zip : 55435-2177
Country : US
Telephone Number : 952-925-1765
Fax Number :
Provider Business Practice Location Address
First Line : 6525 FRANCE AVE S STE 300
Second Line :
City : EDINA
State : MN
Zip : 55435-2177
Country : US
Telephone Number : 952-925-1765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 01/08/2014

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Directions to “ ROBERT C WILKE M.D.” Practice Location

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