Dr. Tanya Marie Wilke, MD
Family Medicine in Enumclaw, WA. Individual provider (NPI-1).
NPI number1235339359
StatusActive
Last updated in NPPESJan 17, 2015
Details
- NPI
- 1235339359
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tanya Marie Wilke
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2007
- Last updated
- Jan 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD60090609 | WA | Yes |
| 207Q00000X | Family Medicine | ML20008540 | WA |
Practice location
1427 Jefferson AveSuite 202
Enumclaw, WA 98022-3649
Phone 360-825-2849 · Fax 360-825-5381
Mailing address
1427 Jefferson AveSuite 202
Enumclaw, WA 98022-3649
Phone 360-825-2849 · Fax 360-825-5381
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All 21 Family Medicine Physician providers in Enumclaw · All 466 providers in Enumclaw
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