Wasilla Internal Medicine LLC

NPI #1578110011 in Wasilla, Alaska

Provider Information

NPI Number
1578110011
Entity Type
Organization
Organization Name
Wasilla Internal Medicine LLC
Primary Specialty
Internal Medicine
Enumeration Date
Aug 20, 2019
Last Updated
Aug 20, 2019

Practice Location

Address
3719 E MERIDIAN LOOP STE F
State
Alaska
ZIP Code
99654-7273
Phone
(907) 373-5940

Authorized Official

Name
METTESSA MAYE REID
Title
ADMINISTRATOR
Phone
(907) 250-3482

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine

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