Gary Wikert Md Pllc, NPI 1760490064
Specialist in Crossville, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1760490064
NPI Entity Type Organization
Provider Name Gary Wikert Md Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 29 Taylor Ave, Suite 210, Crossville, TN, US
Provider Mailing Address 29 Taylor Ave, Suite 210, Crossville, TN, US, 385554527
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Gale Ann Wikert
Official Position OFFICE MANAGER
Phone 931-707-5313

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

License No. 34776
License State TN
Description 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.

Business Address

Gary Wikert Md Pllc
29 Taylor Ave
Suite 210

Crossville, TN, US

Phone: 931-707-5313

Mailing Address

Gary Wikert Md Pllc
29 Taylor Ave
Suite 210
Crossville, TN, US
ZIP 385554527
Phone: 931-707-5313

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
D31365 TN UPIN 01
3735040 TN MEDICAID 05
POO906801 TN RR MCR 01

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1417615469

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MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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