Individual
DR. WANDAL BRYAN WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4661
(907) 339-9455
(907) 339-9445
Mailing address
3650 PIPER ST, STE A, ANCHORAGE, AK 99508-4692
(907) 339-9455
(907) 339-9445
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5849
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231431
—
OR
Enumeration date
05/10/2006
Last updated
06/27/2016
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