RYAN M WILKE

SAN DIEGO, CA
NPI1104186899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20A13131)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ  R2153)
Enumeration Date2012-05-29
Last Update Date2018-06-20
Business Address
RYAN M WILKE D.O.
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
Phone number: 760-317-5797
Mailing Address
RYAN M WILKE D.O.
PO BOX 1770
LA MESA, CA 91944-1770
Phone number: 760-317-5797