Individual
STANISLAW Z. WILK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 S ADAMS ST, PETERSBURG, VA 23803-5149
(804) 862-5000
Mailing address
PO BOX 740209, ATLANTA, GA 30374-0209
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024136367
VA
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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