Dr Mark Steven Wilke, MD | |
9900 13th Avenue N, Ste 2a, Plymouth, MN 55441-5035 | |
(763) 525-0363 | |
(763) 525-0369 |
Full Name | Dr Mark Steven Wilke |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 39 Years |
Location | 9900 13th Avenue N, Plymouth, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376546234 | NPI | - | NPPES |
048218800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 37708 (Minnesota) | Primary |
207ZP0101X | Pathology - Anatomic Pathology | 37708 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Specialists, Pa | 1456248137 | 14 |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Dermatology Specialists, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992752117 PECOS PAC ID: 1456248137 Enrollment ID: O20040413000263 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Steven Wilke, MD 3316 W 66th St, Ste 200, Edina, MN 55435-2544 Ph: (763) 525-0363 | Dr Mark Steven Wilke, MD 9900 13th Avenue N, Ste 2a, Plymouth, MN 55441-5035 Ph: (763) 525-0363 |
Kristine M Chaudet, MD Pathology Medicare: Medicare Enrolled Practice Location: 9900 13th Ave N Ste 2a, Plymouth, MN 55441 Phone: 763-525-0363 | |
Mr. Andrew Jon Larson, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9900 13th Avenue North, Suite 2a, Plymouth, MN 55441 Phone: 763-525-0363 Fax: 763-525-0369 |