Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 000370 | IA |
NPI | 1841509221 |
---|---|
Provider Name | Mr. Dudley J Wilkinson |
First Address | Ankeny, IA 50021-1639 |
Second Address | Ankeny, IA 50021-1639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2010 |
Last Update Date | 01/10/2010 |