Organization
CENTER FOR UROLOGICAL TREATMENT, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL L. WIATRAK M.D. (OWNER)
(270) 393-9505
Entity
Organization
Contact information
Practice address
1325 ANDREA STREET, SUITE 103, BOWLING GREEN, KY 42104
(615) 327-2055
(615) 329-4005
Mailing address
345 23RD AVE NORTH, SUITE 212, NASHVILLE, TN 37203
(270) 393-9505
(615) 329-4005
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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