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Individual

DR. ROBERT S. WANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9030 W FORT ISLAND TRL, SUITE #7, CRYSTAL RIVER, FL 34429-2412
(352) 795-2142
(352) 795-3044
Mailing address
9030 W FORT ISLAND TRL, SUITE #7, CRYSTAL RIVER, FL 34429-2412
(352) 795-2142
(352) 795-3044

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1141
FL

Other

Enumeration date
01/22/2008
Last updated
03/31/2008
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