Mark J Wanderman in Minneapolis - Pediatrics
Mark J Wanderman - NPI 1285660837
Mark J Wanderman is a Pediatrics in Minneapolis, Minnesota. Mark J Wanderman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark J Wanderman is 1285660837. The last update date is 2012-04-11.
Mark J Wanderman's current location address is 2535 University Ave Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126722350 and fax number 6516429441. The mailing address for Mark J Wanderman is 2535 University Ave Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Wanderman |
|---|---|
| Address | 2535 University Ave Se, Minneapolis, Minnesota |
| Phone Number | 6126722350 |
| Fax Number | 6516429441 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285660837 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2012-04-11 |
Provider Mailing Address Detail
| Address | 2535 University Ave Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554143205 |
| Phone Number | 6126722350 |
| Fax Number | 6516429441 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 30314 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 454372600 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark J Wanderman by the Centers for Medicare & Medicaid Services?
The Mark J Wanderman has been assigned the NPI (National Provider Identifier) 1285660837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mark J Wanderman?
The Mark J Wanderman is situated at 2535 University Ave Se, in the city of Minneapolis, state of MN, with the zip code 554143205.
What is the Mark J Wanderman's specialty and taxonomy code?
The Mark J Wanderman's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date was the 1285660837 assigned to Mark J Wanderman?
The Mark J Wanderman was issued its 1285660837 on 2006-06-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark J Wanderman most recently updated or revised?
The information pertaining to Mark J Wanderman, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-11.