DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS GEORGE WACK JR., MD

Active Sole Proprietor

Family Medicine · WHEELING, WV

Registration Details

NPI Number
1497803878
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2007 (19.293443654285 yrs)
Last Updated
Oct 9, 2012
License
11364 (WV)
Sole Proprietor
Yes

Practice Information

Address
616 FAIRMONT PIKE RT 88
WHEELING, WV, 26003
Browse WV providers · Browse ZIP 26003
Phone
3042423550
Fax
3042425810
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WHEELING, WV

Name Credential NPI
DR. WILLIAM CARL MERCER MD 1780687558
DR. DOUGLAS W MIDCAP DO 1992701197
DR. VICTOR A WOOD DO 1336145630
SARA K WETZEL-SAFFLE DO 1255332219
CYNTHIA JANE MUELLER MD 1548261043
TIMOTHY HENRY KNIERIM MD 1861493306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.