Individual
DR. CHRISTOPHER MICHAEL KULISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR STE 200, LENOIR CITY, TN 37772-5676
(865) 271-6180
(865) 374-2204
Mailing address
10810 PARKSIDE DR, SUITE G-15, KNOXVILLE, TN 37934-1979
(865) 218-7444
(865) 218-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43568
KY
207RG0100X
Gastroenterology Physician
Primary
MD50167
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532357
—
TN
Enumeration date
09/27/2007
Last updated
01/24/2023
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