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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JAMES WILKE MD

MEDICARE: DR. CHRISTOPHER JAMES WILKE MD
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
1208000000XPediatrics PhysicianME92782FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326031238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JAMES WILKE MD
Provider Business Mailing Address
First Line : 3250 ZEMKE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33621-5023
Country : US
Telephone Number : 813-827-9218
Fax Number : 813-827-9573
Provider Business Practice Location Address
First Line : 3250 ZEMKE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33621-5023
Country : US
Telephone Number : 813-827-9218
Fax Number : 813-827-9573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 12/08/2023

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