| C H Wilkinson Physician Network | |
|
1736 W. Prien Lake Road Lake Charles LA 70601 | |
| (337) 478-5085 | |
| (337) 478-5086 |
| Full Name | C H Wilkinson Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 1736 W. Prien Lake Road, Lake Charles, Louisiana |
| Authorized Official Name and Position | Donna J Mikulecky (CEO PRESIDENT) |
| Authorized Official Contact | 7132772208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C H Wilkinson Physician Network 1736 W. Prien Lake Road Lake Charles LA 70601 Ph: (337) 478-5085 | C H Wilkinson Physician Network 1736 W. Prien Lake Road Lake Charles LA 70601 Ph: (337) 478-5085 |
| NPI Number | 1295987709 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295987709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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