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Individual

DR. WILLIAM D. SCHENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1670 W MAIN ST, STE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
1670 W MAIN ST, STE100, LEBANON, TN 37087-1344
(615) 444-4516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16211
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000047586
BLUE CROSS BLUE SHIELD
TN
01
1238610001
DMERC
TN
01
180003265
PALMETTO GBA
TN
01
3013671
HEALTHSPRING
TN
05
3013671
TN
01
3180072
CIGNA
TN
01
4065477
AETNA PPO
TN
01
621298175
DEFAULT
TN
Enumeration date
08/03/2005
Last updated
02/02/2009
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