Mark J Wanderman, MD

NPI #1285660837 in Minneapolis, Minnesota

Provider Information

NPI Number: 1285660837
Entity Type: Individual
Name: Mark J Wanderman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 24, 2006
Last Updated: Apr 11, 2012

Practice Location

Address: 2535 UNIVERSITY AVE SE
City: Minneapolis
State: Minnesota
ZIP Code: 55414-3205
Phone: (612) 672-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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