Ryan John Wakim M.D.

NPI 1093033789 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093033789
Gender Male
Enumeration Date 05/05/2010
Last Updated 03/19/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1100 MAIN ST STE 104
WHEELING WV, 26003-2737, US
Phone (304) 460-5123
Fax (800) 734-8498
Business Location
PO BOX 4567
STAR CITY WV, 26504-4567, US
Phone (304) 460-5123
Fax (800) 734-8498
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Ryan John Wakim M.D. NPI is 1093033789, taxonomy code is 390200000X Ryan John Wakim M.D. physically located at 1100 Main St Ste 104, Wheeling WV, 26003-2737. NPI Number Ryan John Wakim M.D. has the Individual type.

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1093033789 NPI number is provided on an as is basis without warranty of any kind. 1093033789 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan John Wakim M.D. are for informational purposes only.