Individual
DR. WANDA RENEE MINNIS-DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 PENNSYLVANIA AVE SE, SUITE 250, WASHINGTON, DC 20003-4318
(202) 575-4660
(202) 547-7900
Mailing address
650 PENNSYLVANIA AVE SE, SUITE 250, WASHINGTON, DC 20003-4318
(202) 575-4660
(202) 547-7900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD19253
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491820
—
DC
Enumeration date
04/04/2007
Last updated
10/11/2016
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