Individual ProviderTodd WilkinsonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W 13 Mile Rd, 400 Fsc-Pcs, Royal Oak, MI 48073(248) 423-2481PECOS EnrollmentBased on the most recent information from CMS, provider Todd Wilkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1902866890Provider TypeIndividualFull NameWilkinson, ToddCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/24/2006Last Updated1/22/2013Contact InformationPractice LocationPractice Address3601 W 13 Mile Rd, 400 Fsc-Pcs, Royal Oak, MI 48073Phone(248) 423-2481FaxUnlisted FaxMailing LocationMailing Address3601 W 13 Mile Rd, 400 Fsc-Pcs, Royal Oak, MI 48073Phone(248) 423-2481FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301037546MichiganProvider IdentifiersIDDescriptionIssuerID1566176DescriptionMedicaidIssuerUnlistedMichiganID110F376980DescriptionOtherIssuerBCBSMMichigan