Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Andrew Wilk

Individual provider Home Modifications Contractor · NPI 1790905131

Mr. Mark Andrew Wilk is a Home Modifications Contractor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

2011 W Davis Rd
Phoenix, AZ 85023-7802
Phone: (602) 942-6421
Fax: (602) 564-2840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X · Licence ROC 165112 (AZ)

Record details

NPI number1790905131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 9, 2007
Mailing address2011 W. Davis Road, Phoenix, AZ 85023-7802

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