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Individual
KEVIN RICHARD WANDLER
Active
Individual
KEVIN RICHARD WANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
25MA10809300
NJ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
01092373A
IN
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
130525
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2022048625
MO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25MA10809300
NJ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
92660
GA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
DR.0055465
CO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD60562814
WA
2084P0800X
Psychiatry Physician
14421
AZ
2084P0800X
Psychiatry Physician
ME110716
FL
Other
Enumeration date
03/30/2007
Last updated
01/08/2025
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