Organization
C H WILKINSON PHYSICIAN NETWORK
Active
Other names
CHRISTUS Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (CEO PRESIDENT)
(713) 277-2208
Entity
Organization
Contact information
Practice address
1736 W. PRIEN LAKE ROAD, LAKE CHARLES, LA 70601
(337) 478-5085
(337) 478-5086
Mailing address
1736 W. PRIEN LAKE ROAD, LAKE CHARLES, LA 70601
(337) 478-5085
(337) 478-5086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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