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NPI Code Detail

MEDICARE: DR. SEAN WILKES MD, MSC

MEDICARE: DR. SEAN WILKES MD, MSC
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
12084P0800XPsychiatry Physician01098889AIN
22084P0800XPsychiatry PhysicianME133895FL
32084P0800XPsychiatry PhysicianMDR7127HI

General Provider Information

NPI Number : 1285166819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN WILKES MD, MSC
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1008
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 1701 S CREASY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-4972
Country : US
Telephone Number : 765-502-4866
Fax Number : 765-502-4401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2017
Last Update Date : 04/06/2026

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Directions to “ DR. SEAN WILKES MD, MSC” Practice Location

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