Lookup NPI Numbers from the NPI Registry
NPI Profile for RANDALL M WILK MD DDS PHD APMC in GRETNA, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI Number | 1285849166 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/13/2007 | |
| Last updated | 10/11/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RANDALL M. WILK, MD, DDS, PHD, APMC
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RANDALL M. WILK, MD, DDS, PHD, APMC