Individual
DR. WADE W. HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3270 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 944-3340
(407) 944-3343
Mailing address
PO BOX 771989, ORLANDO, FL 32877-1989
(407) 944-3340
(407) 944-3343
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME75769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254295100
—
FL
Enumeration date
07/27/2006
Last updated
10/01/2012
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