DR. William W Wennen, M.D.

NPI #1992817241 in Fairbanks, Alaska

Provider Information

NPI Number: 1992817241
Entity Type: Individual
Name: DR. William W Wennen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 10, 2007

Practice Location

Address: 1275 SADLER WAY
Address 2: SUITE 200
City: Fairbanks
State: Alaska
ZIP Code: 99701-3171
Phone: (907) 451-8775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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