Individual
ANN M WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28691
WA
Other
Enumeration date
04/20/2006
Last updated
12/30/2014
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