Organization
RANDALL M. WILK, MD, DDS, PHD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL M. WILK MD (OWNER)
(504) 362-6135
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, #300, GRETNA, LA 70056
(504) 362-6135
(504) 362-6134
Mailing address
120 MEADOWCREST ST, #300, GRETNA, LA 70056
(504) 362-6135
(504) 362-6134
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4669
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
022962
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1890197
—
LA
Enumeration date
05/13/2007
Last updated
10/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us