# CENTER FOR UROLOGICAL TREATMENT, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821230046
- **Authorized official:** MITCHELL L. WIATRAK M.D. (OWNER)
- **Authorized official phone:** (270) 393-9505

## Contact information

- **Practice address:** 1325 ANDREA STREET, SUITE 103, BOWLING GREEN, KY 42104
- **Practice address phone:** (615) 327-2055
- **Practice address fax:** (615) 329-4005
- **Mailing address:** 345 23RD AVE NORTH, SUITE 212, NASHVILLE, TN 37203
- **Mailing address phone:** (270) 393-9505
- **Mailing address fax:** (615) 329-4005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2009
- **Last updated:** 04/02/2009