Organization
WILLIAM W WENNEN MD FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W WENNEN M.D. (PRESIDENT)
(907) 451-8775
Entity
Organization
Contact information
Practice address
575 RIVERSTONE WAY, UNIT 1, FAIRBANKS, AK 99709-2939
(907) 451-8775
(907) 451-7716
Mailing address
575 RIVERSTONE WAY, UNIT 1, FAIRBANKS, AK 99709-2939
(907) 451-8775
(907) 451-7716
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
AA1264
AK
Other
Enumeration date
08/30/2007
Last updated
08/13/2010
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