Individual
MRS. SHARON ANITA WANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
47 S WASHINGTON STREET, WILKES-BARRE, PA 18701
(570) 301-5697
Mailing address
52 BROOK LANE, MOUNTAINTOP, PA 18707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD041787-E
PA
208000000X
Pediatrics Physician
Primary
MD041787E
PA
208D00000X
General Practice Physician
MD041787-E
PA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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