Jacqueline Carol Wilk in Medford - Pediatric Critical Care Medicine

Jacqueline Carol Wilk - NPI 1528251840

Jacqueline Carol Wilk is a Pediatric Critical Care Medicine in Medford, Oregon. Jacqueline Carol Wilk practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jacqueline Carol Wilk is 1528251840. The last update date is 2009-06-10.

Jacqueline Carol Wilk's current location address is 2825 E Barnett Rd, Medford, Oregon. You can contact this provider via phone number 5417894700. The mailing address for Jacqueline Carol Wilk is 2825 E Barnett Rd, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Carol Wilk
Address 2825 E Barnett Rd, Medford, Oregon
Phone Number 5417894700
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528251840
Provider Enumeration Date 2007-08-21
Last Updated Date 2009-06-10

Provider Mailing Address Detail

Address 2825 E Barnett Rd
City Medford
State Oregon (OR)
Post Code 975048332
Phone Number 5417894700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No MD29023
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD29023 OR MEDICAL LICENSE

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FAQs about Jacqueline Carol Wilk

What is the Jacqueline Carol Wilk's unique identification number?

The Jacqueline Carol Wilk has been assigned the NPI (National Provider Identifier) Number 1528251840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Jacqueline Carol Wilk is located?

The Jacqueline Carol Wilk is situated at the following address: 2825 E Barnett Rd, Medford, OR, 975048332.

What is Jacqueline Carol Wilk's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacqueline Carol Wilk is Pediatric Critical Care Medicine, and the corresponding taxonomy classification code for this specialized field is 2080P0203X.

On what date was the 1528251840 assigned to Jacqueline Carol Wilk?

The Jacqueline Carol Wilk was issued its 1528251840 on 2007-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jacqueline Carol Wilk most recently updated or revised?

The information pertaining to Jacqueline Carol Wilk, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-10.

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