Mark D Kriskovich, M.D.
Specialist in Cookeville, TN. Individual provider (NPI-1).
NPI number1619086626
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619086626
- Entity type
- Individual (NPI-1)
- Name
- Mark D Kriskovich
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD036079 | TN | Yes |
Practice location
100 W 4th StSuite 200
Cookeville, TN 38501-2448
Phone 931-528-1575 · Fax 931-526-2962
Mailing address
100 W 4th StSuite 200
Cookeville, TN 38501-2448
Phone 931-528-1575 · Fax 931-526-2962
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