Organization
KHALIL G. WAKIM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL G WAKIM (PHYSICIAN/ OWNER)
(765) 646-8555
Entity
Organization
Contact information
Practice address
2101 JACKSON ST, SUITE 105, ANDERSON, IN 46016-4388
(765) 646-8555
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 213-3238
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01028183
IN
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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