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Organization

WANDRA K. MILES, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDRA K MILES MD (OWNER)
(206) 292-6226
Entity
Organization

Contact information

Practice address
3137 TONGASS AVE, KETCHIKAN, AK 99901-5745
(206) 292-6226
(206) 623-8825
Mailing address
PO BOX 50150, BELLEVUE, WA 98015-0150
(425) 228-5228

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4971
AK

Other

Enumeration date
02/18/2008
Last updated
08/17/2010
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