Individual
DR. MARK HOWARD WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8534
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2132
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
927986
TX
163WC0200X
Critical Care Medicine Registered Nurse
RN149029
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134804
TX
Other
Enumeration date
05/11/2017
Last updated
01/28/2020
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