Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 43981 | WI |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD474718 | PA |
N | 2081P2900X | Pain Medicine | MD474718 | PA |
NPI | 1043231756 |
---|---|
Provider Name | Thomas J Wilkins |
First Address | Erie, PA 16508-1721 |
Second Address | Erie, PA 16508-1721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 04/02/2022 |