DR. Gerald A Wankum, M.D.

NPI #1689677254 in Alton, Illinois

Provider Information

NPI Number: 1689677254
Entity Type: Individual
Name: DR. Gerald A Wankum, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 27, 2005
Last Updated: Jun 29, 2012

Practice Location

Address: 3 PROFESSIONAL DR
City: Alton
State: Illinois
ZIP Code: 62002-5067
Phone: (618) 465-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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