Most Relevant Information
Provider Data
| NPI Number: | 1003310509 |
| Provider Name: | JUSTIN MICHAEL WILEMAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2018 |
| Last Updated: | 07/12/2023 |
Provider Practice Location
3535 TRAVIS ST
DALLAS
TX
752041448
Practice Location Phone/Fax
| Phone: | 2145222661 |
| Fax: | 2145222661 |
Provider Mailing Location
3535 TRAVIS ST STE 170
DALLAS
TX
752041480
Provider Mailing Phone/Fax
| Phone: | 2145222661 |
| Fax: | 2145225469 |