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NPI Code Detail

MEDICARE: DR. JEFFREY DAVID WILKINS D.O.

MEDICARE: DR. JEFFREY DAVID WILKINS D.O.
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
1207P00000XEmergency Medicine PhysicianDO-03446IA
2207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianDO-03446IA
3207Q00000XFamily Medicine PhysicianDO-03446IA

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 : 1881680130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY DAVID WILKINS D.O.
Provider Business Mailing Address
First Line : 1825 LOGAN AVE
Second Line :
City : WATERLOO
State : IA
Zip : 50703-1916
Country : US
Telephone Number : 319-235-3697
Fax Number : 319-235-3698
Provider Business Practice Location Address
First Line : 1825 LOGAN AVE
Second Line :
City : WATERLOO
State : IA
Zip : 50703-1916
Country : US
Telephone Number : 319-235-3697
Fax Number : 319-235-3698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 07/07/2025

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Directions to “ DR. JEFFREY DAVID WILKINS D.O.” Practice Location

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