Individual
KEITH L WAPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 W WASHINGTON SQ, FARM JOURNAL BUILDING, 5TH FLOOR, PHILA, PA 19106-3500
(215) 829-3668
(215) 829-5002
Mailing address
230 W WASHINGTON SQ, FARM JOURNAL BUILDING, 5TH FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-3668
(215) 829-5002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD026936E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010468000009
—
PA
Enumeration date
07/07/2006
Last updated
08/30/2012
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