Individual provider · Type 1 NPI

Deletra Michelle Wilke, PA-C

Medical Physician Assistant · Madisonville, TN

NPI number 1841731817 Active

Practice location

3959 Highway 411
Madisonville, TN 37354-4417

Fax (423) 545-9556

Mailing address

PO Box 808
Kingston, TN 37763-0808

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3239 (TN)
Medical Physician Assistant Primary 363AM0700X3239 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1841731817

Deletra Michelle Wilke, PA-C's National Provider Identifier is 1841731817, issued on Mar 10, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madisonville, TN. The record was last updated on Nov 4, 2024.