Organization · Type 2 NPI

Wolf River Plastic Surgery,pc

Specialist · Germantown, TN

NPI number 1679743561 Active

Practice location

7910 Wolf River Blvd
Germantown, TN 38138-1725

Fax (901) 737-1107

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD10489 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679743561

Wolf River Plastic Surgery,pc's National Provider Identifier is 1679743561, issued on Mar 6, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Germantown, TN. The record was last updated on Mar 18, 2008.