National Provider Identifier

Sebastian Wilk, MD

Sebastian Wilk, MD is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Olean, NY and a listed phone number of (716) 376-2223.

NPI 1619389475Olean, NYRheumatology Physician

Profile Overview

NPI
1619389475
Provider Type
Individual
Primary Specialty
Rheumatology Physician
Enumeration Date
May 28, 2014
Last Updated
October 11, 2019

Practice Location

  • Olean Medical Group
  • 535 Main St
  • Olean, NY 14760

Phone: (716) 376-2223

Mailing Address

  • 535 Main St Ste 1
  • Olean, NY 14760-1593

Specialties

  • Rheumatology Physician (207RR0500X)
Full Record
NPI
1619389475
Entity Type
Individual
Last Name
Wilk
First Name
Sebastian
Name Prefix
Dr.
Credential
MD
Mailing Street Address
535 Main St Ste 1
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1593
Mailing Country
US
Mailing Phone
(716) 376-2223
Mailing Fax
(716) 376-2349
Practice Street Address
Olean Medical Group
Practice Address Line 2
535 Main St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760
Practice Country
US
Practice Phone
(716) 376-2223
Practice Fax
(716) 376-2349
Enumeration Date
May 28, 2014
Last Updated
October 11, 2019
Deactivation Date
January 07, 2015
Reactivation Date
May 13, 2015
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Rheumatology Physician (207RR0500X)