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NPI Code Detail

MEDICARE: DR. MICHELE LEE WILKIE D.C.

MEDICARE: DR. MICHELE LEE WILKIE D.C.
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
1111N00000XChiropractor006.0057138VT

General Provider Information

NPI Number : 1306086020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE LEE WILKIE D.C.
Provider Business Mailing Address
First Line : 25 CATHERINE ST
Second Line :
City : SAINT ALBANS
State : VT
Zip : 05478-2205
Country : US
Telephone Number : 802-524-4600
Fax Number : 802-524-4700
Provider Business Practice Location Address
First Line : 25 CATHERINE ST
Second Line :
City : SAINT ALBANS
State : VT
Zip : 05478-2205
Country : US
Telephone Number : 802-524-4600
Fax Number : 802-524-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2009
Last Update Date : 07/31/2013

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