MARK S WILKES

LEES SUMMIT, MO
NPI1467412254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  095684)
Enumeration Date2006-03-24
Last Update Date2008-06-02
Business Address
MARK S WILKES CRNA
250 NE MULBERRY ST C/O SJS MEDICAL MANAGEMENT, SUITE 202
LEES SUMMIT, MO 64086-4533
Phone number: 816-389-4130
Mailing Address
MARK S WILKES CRNA
804 COTTONWOOD PL
LIBERTY, MO 64068-9203
Phone number: 816-407-7204
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