Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 220692 | NY |
Y | 2086X0206X | Surgical Oncologist | 29568 | MT |
NPI | 1083616643 |
---|---|
Provider Name | Neal W Wilkinson |
First Address | Kalispell, MT 59901-4844 |
Second Address | Kalispell, MT 59901-4844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 02/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02281845 | (05) | NY |
H63380 | (02) |