Individual
AUSTIN WAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY, CINCINNATI, OH 45267-1000
(513) 584-2146
(513) 584-0431
Mailing address
2600 EUCLID AVE, CINCINNATI, OH 45219-2102
(513) 618-2848
(513) 618-2849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35078200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077822
ANTHEM
OH
05
—
2184541
—
OH
01
—
2328522
AETNA
OH
05
—
64014285
—
KY
Enumeration date
08/16/2006
Last updated
07/08/2007
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