Individual
MARSHALL WADE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-4471
(830) 997-4353
(830) 990-1599
Mailing address
PO BOX 294145, KERRVILLE, TX 78029-4145
(888) 779-3675
(803) 896-5211
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L9037
TX
Other
Enumeration date
11/22/2005
Last updated
03/03/2008
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