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DR. MADELINE FRUCHT WILKS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1205819943

Individual Registrant:
DR. MADELINE FRUCHT WILKS MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2831 15TH ST. NW LA CLINICA DEL PUEBLO WASHINTON, DC 20009 US
Tel: 202-462-4788  Fax: 202-667-3706

Contact information for business:
LA CLINICA DEL PUEBLO 2831 15TH ST. NW WASHINTON, DC 20009 US
Tel: 202-462-4788  Fax: 202-667-3706

Registration Information:
NPI: 1205819943
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
DCMD32450

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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