Individual
GARY WAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9270
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-9270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D31052
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D31052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377011700
—
MD
Enumeration date
06/08/2006
Last updated
02/20/2013
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