IndividualActive
G Wilks, DPM
NPI 1316006539 · Podiatrist · Roseburg, OR
Provider details
- NPI number
- 1316006539
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- DP00318 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1813 W Harvard Ave Ste 201
Roseburg, OR 97471-2754
Phone: (541) 673-0742
Fax: (541) 673-7553
Approximate (ZIP-level) locationGet directions
Mailing address
1813 W Harvard Ave Ste 201
Roseburg, OR 97471-2754
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.