Individual
DR. ALEX MARK WURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0069210
MD
2085R0204X
Vascular & Interventional Radiology Physician
A103180
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0069210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023874100
—
MD
Enumeration date
01/08/2009
Last updated
08/11/2022
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