Individual
WILLIAM WALTER WASSYNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
(931) 372-0463
Mailing address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
TP580
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
37302
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
TP580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510044
—
TN
05
—
3881608
—
TN
01
—
6011815
BLUE CROSS-BLUE SHIELD
TN
01
—
P00669730
RR MEDICARE
TN
Enumeration date
05/23/2005
Last updated
06/17/2022
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