Individual
DR. VIKTOR P SULKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000010318
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379190
—
TN
01
—
4051152
BCBS TN PROVIDER NUMBER
TN
01
—
4051167
BCBS TN GRP PROVIDER NUMB
TN
Enumeration date
08/31/2006
Last updated
07/09/2007
Update your record
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