Individual
MATTHEW LANE WILHAUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
874 UNION AVE RM 325, MEMPHIS, TN 38103-3514
(901) 448-6128
Mailing address
874 UNION AVE RM 325, MEMPHIS, TN 38103-3514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
227217
TN
Other
Enumeration date
11/04/2024
Last updated
06/30/2025
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