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NPI Code Detail

MEDICARE: DR. MATTHEW A WILKEN AU.D.

MEDICARE: DR. MATTHEW A WILKEN AU.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
1231H00000XAudiologist256CO

General Provider Information

NPI Number : 1982810032
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW A WILKEN AU.D.
Provider Business Mailing Address
First Line : 445 UNION BLVD STE 124
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1239
Country : US
Telephone Number : 303-233-3142
Fax Number : 303-233-3719
Provider Business Practice Location Address
First Line : 445 UNION BLVD STE 124
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1239
Country : US
Telephone Number : 303-233-3142
Fax Number : 303-233-3719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 09/23/2020

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