Most Relevant Information
Provider Data
| NPI Number: | 1003298316 |
| Provider Name: | KYLE WILEBSKI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | RL 13722 |
Most Important Dates
| Enumeration Date: | 06/23/2015 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
900 E BROADWAY AVE
BISMARCK
ND
585014520
Practice Location Phone/Fax
| Phone: | 7015307000 |
| Fax: | 7015308984 |
Provider Mailing Location
900 E BROADWAY AVE
BISMARCK
ND
585014520
Provider Mailing Phone/Fax
| Phone: | 7015307000 |
| Fax: | 7015308984 |