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Mark D Kriskovich, MD
Specialist in Cookeville, Tennessee
NPI 1619086626

Mark D Kriskovich is a Specialist based in Cookeville, TN. Mark D Kriskovich practices in Cookeville, TN and has the professional credentials of MD. The NPI Number for Mark D Kriskovich is 1619086626 and holds a License No. MD036079 (Tennessee).

The current practice location address for Mark D Kriskovich is 100 W 4Th St, Cookeville, TN and can be reached out via phone at 931-528-1575 and via fax at 931-526-2962.

Location: 100 W 4Th St, Cookeville, TN, 38501-2448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619086626
Provider Name
Mark D Kriskovich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 W 4Th St, Cookeville, TN, 38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3872688 05 TN
institution
Provider Business Practice Location Address Details
Address
100 W 4Th St
City
Cookeville
State
Tennessee
Zip
38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
person
Provider Business Mailing Address Details
Address
100 W 4Th St
City
Cookeville
State
Tennessee
Zip
38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD036079 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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