Individual
DR. CHRISTOPHER J KLUGEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2770
(931) 525-1176
Mailing address
127 N OAK AVE STE D, COOKEVILLE, TN 38501-2435
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42656
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
42656
TN
208M00000X
Hospitalist Physician
Primary
42656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00969845A
—
GA
01
—
17123
BCBS
FL
01
—
260245416
GEHA
TN
05
—
265139400
—
FL
01
—
284997
AVMED
FL
01
—
3000888
MEDICARE
TN
05
—
3000888
—
TN
01
—
4162482
BCBS
TN
01
—
7948383
AETNA
FL
Enumeration date
05/23/2005
Last updated
04/13/2023
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