Individual
DR. MARK JOHN WEHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2415 N ORANGE AVE STE 402, ORLANDO, FL 32804
(407) 622-0560
(407) 622-0563
Mailing address
2415 N ORANGE AVE STE 402, ORLANDO, FL 32804-5505
(407) 622-0560
(407) 622-0563
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200001021
NC
207VM0101X
Maternal & Fetal Medicine Physician
8149327-1204
UT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
OS12635
FL
Other
Enumeration date
07/19/2006
Last updated
08/29/2019
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