Individual
STEPHEN A WANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3593
Mailing address
10921 EDISON RD, POTOMAC, MD 20854-1817
(301) 299-4194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0025066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376141000
—
MD
Enumeration date
11/21/2006
Last updated
08/14/2009
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