IndividualActive
Allan Wilke, MD
NPI 1366404097 · Family Medicine Physician · Portage, MI
Provider details
- NPI number
- 1366404097
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C151694 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Phone: (269) 312-1446
Fax: (269) 775-1079
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2174
Kalamazoo, MI 49003-2174
Additional practice locations (1)
- 1000 Oakland DrKalamazoo, MI 49008-8040Phone: (269) 337-6500
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2021-08-29
- Certified
- 2021-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.