Mitchell L Wiatrak MD

NPI 1114914900 - Urology - 208800000X

NPI Details
NPI 1114914900
Gender Male
Enumeration Date 10/05/2005
Last Updated 09/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2801 CHARLOTTE AVE
NASHVILLE TN, 37209, US
Phone (615) 250-9200
Fax (615) 250-9251
Business Location
2801 CHARLOTTE AVE
NASHVILLE TN, 37209, US
Phone (615) 250-9200
Fax (615) 250-9251
Toxanomy
Taxonomy Code 208800000X
License State Tennessee
License Number 41813
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According to our database, Dr. Mitchell L Wiatrak MD NPI is 1114914900, taxonomy code is 208800000X and license number is 41813, license state is located at Tennessee. Mitchell L Wiatrak MD physically located at 2801 Charlotte Ave, Nashville TN, 37209. NPI Number Mitchell L Wiatrak MD has the Individual type.

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1114914900 NPI number is provided on an as is basis without warranty of any kind. 1114914900 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell L Wiatrak MD are for informational purposes only.