Individual
KHALIL G WAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 JACKSON ST, # 105, ANDERSON, IN 46016-4388
(765) 649-8555
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01028183A
IN
Other
Enumeration date
08/12/2006
Last updated
03/18/2008
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