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Gary Wikert Md Pllc
Specialist in Crossville, Tennessee
NPI 1760490064

Gary Wikert Md Pllc is a Specialist based in Crossville, TN. Gary Wikert Md Pllc practices in Crossville, TN. The NPI Number for Gary Wikert Md Pllc is 1760490064 and holds a License No. 34776 (Tennessee).

The current practice location address for Gary Wikert Md Pllc is 29 Taylor Ave, Crossville, TN and can be reached out via phone at 931-707-5313.

Location: 29 Taylor Ave, Crossville, TN, 38555-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760490064
Provider Name
Gary Wikert Md Pllc
Credential
Provider Entity Type
Organization
Address
29 Taylor Ave, Crossville, TN, 38555-4527
Phone Number
931-707-5313
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D31365 01 TN UPIN
3735040 05 TN
POO906801 01 TN RR MCR
institution
Provider Business Practice Location Address Details
Address
29 Taylor Ave
City
Crossville
State
Tennessee
Zip
38555-4527
Phone Number
931-707-5313
Fax Number
person
Provider Business Mailing Address Details
Address
29 Taylor Ave
City
Crossville
State
Tennessee
Zip
38555-4527
Phone Number
931-707-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34776 (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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