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Organization

WADE W HAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WADE W HAN M.D. (DOCTOR)
(407) 944-3340
Entity
Organization

Contact information

Practice address
3270 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 944-3340
(407) 944-3343
Mailing address
PO BOX 771989, ORLANDO, FL 32877-1989
(407) 944-3340
(407) 944-3343

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME75769
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254295100
FL
Enumeration date
05/27/2008
Last updated
07/28/2008
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