MR. MARK ANDREW WILK
NPI 1790905131
Contractor - Home Modifications in Phoenix, AZ

Active since April 26, 2007
2011 W. DAVIS ROAD, PHOENIX, AZ 85023(602) 942-6421(602) 564-2840 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Mark Andrew Wilk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK ANDREW WILK (NPI 1790905131) is an individual home modifications provider in Phoenix, Arizona, licensed in Arizona (ROC 165112) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790905131
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameMR. MARK ANDREW WILK
Location Address2011 W. DAVIS ROADPhoenix, AZ 85023-7802
Mailing Address2011 W. Davis RoadPhoenix, AZ 85023-7802 · (602) 942-6421 · Fax (602) 564-2840
Fax(602) 564-2840
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1790905131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
License Licensed in AZ · ROC 165112
Definition

A contractor who makes modifications to homes to accommodate a health condition.

2011 W. DAVIS ROAD, Phoenix, AZ 85023

Other Identifiers 2

Medicaid631029AZ
Medicaid436908AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wilk's NPI number?

The NPI number for Mark Wilk is 1790905131. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Mark Wilk located?

Mark Wilk practices at 2011 W. Davis Road, Phoenix, AZ 85023. The listed phone number is (602) 942-6421.

What is Mark Wilk's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Mark Wilk was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.