| Doctor Name: | DR. TODD HENRY WILKENS |
| NPI Number: | 1356434856 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD0000026875 |
| Business Practice Address: | 131 Hospital Lane Suite 1 Jellico, TN - 37762 |
| Business Phone Number: | 4237847269 |
| Business Fax Number: | 4237843708 |
| Mailing Address: | P. O. Box 28, JELLICO |
| State: | TN |
| Postal Code: | 37762 |
| Phone Number: | 4237847269 |
| Fax Number: | 4237843708 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MD0000026875 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |