Provider Demographics
NPI:1740230200
Name:WILKINS, DAVID HERBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HERBERT
Last Name:WILKINS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:131 W SEAWAY DR
Mailing Address - Street 2:STE 200
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-3761
Mailing Address - Country:US
Mailing Address - Phone:231-375-8065
Mailing Address - Fax:231-375-8063
Practice Address - Street 1:5933 GRAND HAVEN RD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-6011
Practice Address - Country:US
Practice Address - Phone:231-799-3300
Practice Address - Fax:231-799-3322
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2017-07-24
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Provider Licenses
StateLicense IDTaxonomies
MI5601002156363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical