Individual
WILSON B SPRENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6105 HEALTH CENTER LANE, FREDERICKSBURG, VA 22407
(540) 786-5262
(540) 786-5299
Mailing address
PO BOX 31872, RICHMOND, VA 23294-1872
(804) 266-8717
(804) 266-5677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101026596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004115158
AETNA
—
01
—
1471540
CIGNA
—
01
—
14Z596
ANTHEM BCBS
—
01
—
226153
SOUTHERN HEALTH
—
01
—
3100597
MAMSI
—
01
—
3392300
AETNA
—
01
—
P00063506
RAILROAD MEDICARE
—
Enumeration date
02/08/2006
Last updated
04/15/2008
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