Charles K Wanich in Merritt Island - Nephrology

Charles K Wanich - NPI 1376642355

Charles K Wanich is a Nephrology in Merritt Island, Florida. Charles K Wanich practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Charles K Wanich is 1376642355. The last update date is 2011-10-26.

Charles K Wanich's current location address is 245 S Courtenay Parkway, Merritt Island, Florida. You can contact this provider via phone number 3214535326 and fax number 3214528507. The mailing address for Charles K Wanich is 245 S Courtenay Parkway, Merritt Island, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles K Wanich
Address 245 S Courtenay Parkway, Merritt Island, Florida
Phone Number 3214535326
Fax Number 3214528507
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376642355
Provider Enumeration Date 2006-09-22
Last Updated Date 2011-10-26

Provider Mailing Address Detail

Address 245 S Courtenay Parkway
City Merritt Island
State Florida (FL)
Post Code 32952
Phone Number 3214535326
Fax Number 3214528507

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No ME36933
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110202974 RR MEDICARE
39647800 FL --
2168973 AETNA

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FAQs about Charles K Wanich

What is the unique 10-digit identifier code assigned to Charles K Wanich by the Centers for Medicare & Medicaid Services?

The Charles K Wanich has been issued the NPI (National Provider Identifier) 1376642355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Charles K Wanich's facilities are situated?

The facilities of Charles K Wanich are physically located at the following address: 245 S Courtenay Parkway, Merritt Island, FL, 32952.

What is Charles K Wanich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles K Wanich is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.

When did the Charles K Wanich receive its 1376642355?

The Charles K Wanich was issued its 1376642355 on 2006-09-22, which is the date when the organization was assigned this unique identifier.

When was the information related to Charles K Wanich most recently updated or refreshed?

The details pertaining to the Charles K Wanich, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-26.

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