Provider Demographics
NPI:1326235623
Name:WILKINSON, MARK NATHANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:NATHANIEL
Last Name:WILKINSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:33663 BAYVIEW MEDICAL DR
Mailing Address - Street 2:UNIT 2
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1663
Mailing Address - Country:US
Mailing Address - Phone:302-645-3555
Mailing Address - Fax:302-644-3560
Practice Address - Street 1:400 SAVANNAH RD
Practice Address - Street 2:SUITE B
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1499
Practice Address - Country:US
Practice Address - Phone:302-645-9325
Practice Address - Fax:302-645-5214
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2014-02-06
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Provider Licenses
StateLicense IDTaxonomies
NY390200000X207R00000X
DEC1-0009726207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine