Anne Wister

NPI #1194104414 in Melrose, Florida

Provider Information

NPI Number: 1194104414
Entity Type: Individual
Name: Anne Wister
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 102 SERENITY DR
City: Melrose
State: Florida
ZIP Code: 32666-3032
Phone: (727) 251-2324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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