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Individual

DR. PETER GERARD WERNICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
787 37TH ST STE E200, VERO BEACH, FL 32960-7306
(772) 978-7808
(772) 978-9320
Mailing address
787 37TH ST STE E200, VERO BEACH, FL 32960-7306
(772) 978-7808
(772) 978-9320

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 0057400
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0634280000
FL
01
1276130001
PALMETTO
01
200035314
RAILROAD MEDICARE
01
650938033
CHAMPUS
Enumeration date
07/06/2006
Last updated
08/26/2022
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