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Contact Information

ISTVAN D WOLLAK, MD
401 SOUTHCREST CIR
SUITE 212
SOUTHAVEN, MS38671-6726
 Phone: 662-349-0488
 Fax: 662-349-5974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ISTVAN D WOLLAK · (Male)

NPI Number 1619919305
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 01/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 19168
  • MS Other 19168 LICENSE NUMBER
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL DESOTO - (Acute Care)
    7601 SOUTHCREST PARKWAY
    SOUTHAVEN, MS 38671
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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