Individual
ALICE L WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7275
(757) 668-9175
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101040880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001186501
—
DE
05
—
0016953980001
—
PA
05
—
006603343
—
VA
05
—
0197030000
—
WV
05
—
131321500
—
MD
05
—
890556C
—
NC
Enumeration date
06/12/2006
Last updated
02/11/2010
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