Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL M. WILK, MD, DDS, PHD, APMC
Active OrganizationRANDALL M. WILK, MD, DDS, PHD, APMC is a Oral & Maxillofacial Surgery (Physician) organization located in GRETNA, Louisiana. NPI 1285849166 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · GRETNA, LA
Registration Details
- NPI Number
- 1285849166
- Provider Type
- Organization
- NPI Issued
- May 13, 2007 (19.284929676348 yrs)
- Last Updated
- Oct 11, 2013
- Licenses
-
4669 (LA)022962 (LA)
Practice Information
- Address
-
120 MEADOWCREST ST, #300GRETNA, LA, 70056Browse LA providers · Browse ZIP 70056
- Phone
- 5043626135
- Fax
- 5043626134
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.