Individual
DR. WALTER E. WOJCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 312-0600
Mailing address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 312-0600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29387
TN
2085R0202X
Diagnostic Radiology Physician
ME92117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509198
IANP
TN
01
—
1515660
TNONC
TN
05
—
3001136
—
TN
05
—
7100030180
—
KY
Enumeration date
06/15/2006
Last updated
03/04/2021
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