Individual
ANDREW WOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-7644
(907) 228-8337
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4307
(206) 215-4253
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
219479
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
06/12/2024
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