Grace E. Wandersleben, MD
NPI #1376142844 in Canovanas, Puerto Rico
Provider Information
- NPI Number
- 1376142844
- Entity Type
- Individual
- Name
- Grace E. Wandersleben, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Credential
- MD
- Enumeration Date
- Oct 25, 2020
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO
- City
- Canovanas
- State
- Puerto Rico
- ZIP Code
- 00729-3998
- Phone
- (787) 957-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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