Provider Demographics
NPI:1124487624
Name:WILKIE, JOSEPH AARON GRAY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:AARON GRAY
Last Name:WILKIE
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4209 CEDAR AVE S
Mailing Address - Street 2:APT. 4
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3448
Mailing Address - Country:US
Mailing Address - Phone:612-250-3387
Mailing Address - Fax:
Practice Address - Street 1:13819 HANSON BLVD NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-7608
Practice Address - Country:US
Practice Address - Phone:763-392-4001
Practice Address - Fax:763-862-2091
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MN2425363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant