Individual
DR. WADE CARL WERNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1043
(501) 622-1199
Mailing address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1043
(501) 622-1199
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
31819
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053502800
—
MN
01
—
2M151WE
BCBS
MN
01
—
5H0526972
MEDICARELINKED
AR
01
—
HP31594
HEALTHPARTNERS
MN
Enumeration date
10/14/2005
Last updated
02/07/2008
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