ROBERT W WAKE

MEMPHIS, TN
NPI1982661088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: TN  17572)
Enumeration Date2006-05-01
Last Update Date2016-03-03
Business Address
-- ROBERT W WAKE MD
6555 QUINCE RD
MEMPHIS, TN 38119-8202
Phone number: 901-515-5704
Mailing Address
-- ROBERT W WAKE MD
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-545-7302
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