Individual
DONALD VANWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4383
Mailing address
PO BOX 73276, BALTIMORE, MD 21273-3276
(301) 631-8103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0062021
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001954200
—
MD
05
—
381221900
—
MD
05
—
451601000
—
MD
Enumeration date
06/19/2006
Last updated
03/24/2021
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