Organization
KIMBERLY J WONDERLICH MD FAAD DERMATOLOGY LLC
Active
Organization
KIMBERLY J WONDERLICH MD FAAD DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WONDERLICH (MANAGING MEMBER)
(907) 456-1979
Entity
Organization
Contact information
Practice address
2775 COLLEGE ROAD, FAIRBANKS, AK 99709
(907) 456-1979
Mailing address
2775 COLLEGE RD, FAIRBANKS, AK 99709-3751
(907) 456-1979
(907) 456-1903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8102
AK
Other
Enumeration date
05/29/2015
Last updated
02/13/2019
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