William W Wennen MD Facs

NPI #1497949697 in Fairbanks, Alaska

Provider Information

NPI Number: 1497949697
Entity Type: Organization
Organization Name: William W Wennen MD Facs
Primary Specialty: Plastic Surgery
Enumeration Date: Aug 30, 2007
Last Updated: Aug 13, 2010

Practice Location

Address: 575 RIVERSTONE WAY
Address 2: UNIT 1
City: Fairbanks
State: Alaska
ZIP Code: 99709-2939
Phone: (907) 451-8775

Authorized Official

Name: DR. WILLIAM W WENNEN, M.D.
Title: PRESIDENT
Phone: (907) 451-8775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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