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John David Wilkes, MD
Hematology & Oncology Physician in Lake St Louis, Missouri
NPI 1023071347

John David Wilkes is a Hematology & Oncology Physician based in Wentzville, MO and is specialized in Hematology & Oncology. John David Wilkes practices in Lake St Louis, MO and has the professional credentials of MD. The NPI Number for John David Wilkes is 1023071347 and holds a License No. R7J99 (Missouri).

The current practice location address for John David Wilkes is 400 Medical Plz, Lake St Louis, MO and can be reached out via phone at 636-639-8600 and via fax at 636-639-8676.

Location: 400 Medical Plz, Lake St Louis, MO, 63385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023071347
Provider Name
John David Wilkes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Medical Plz, Lake St Louis, MO, 63385
Phone Number
636-639-8600
Fax Number
636-639-8676
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208002113 05 MO
57015 01 GHP
273988 01 HEALTHLINK
4676254 01 AETNA
6198 01 MI BCBS
6198 01 BC
3609028 01 UHC
900002001 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
400 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1490
Phone Number
636-639-8600
Fax Number
636-639-8676
person
Provider Business Mailing Address Details
Address
400 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1490
Phone Number
636-639-8600
Fax Number
636-639-8676
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
R7J99 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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