Doctor Name: | DR. RICHARD HARRY WILKINS |
NPI Number: | 1093985434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | DO2302 |
Business Practice Address: | 1278 Roosevelt Trl Raymond, ME - 040716604 |
Business Phone Number: | 2076556181 |
Business Fax Number: | 2076556188 |
Mailing Address: | 1278 Roosevelt Trl, RAYMOND |
State: | ME |
Postal Code: | 040716604 |
Phone Number: | 2076556181 |
Fax Number: | 2076556188 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO2302 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |