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1467611152
CHARLES WIKE
MARIETTA, GA
NPI
1467611152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 11096)
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
-- CHARLES WIKE m.d.
219 N FOREST AVE NE
MARIETTA, GA 30060-1623
Phone number: 806-335-6400
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Mailing Address
-- CHARLES WIKE m.d.
219 N FOREST AVE NE
MARIETTA, GA 30060-1623
Phone number: 806-335-6400
Copy
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