Individual
DR. JOSEPH MICHAEL WAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7467 RIDGE RD STE 140, HANOVER, MD 21076-3118
(410) 768-5050
(410) 768-7830
Mailing address
7467 RIDGE RD STE 140, HANOVER, MD 21076-3118
(410) 768-5050
(410) 768-7830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H0100846
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H0100846
MD
Other
Enumeration date
03/20/2018
Last updated
08/21/2024
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