Individual
LINDA J WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 E MARYDALE AVE STE 1, SOLDOTNA, AK 99669
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 262-3119
(907) 262-9290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29529-020
WI
207R00000X
Internal Medicine Physician
4301071662
MI
207R00000X
Internal Medicine Physician
Primary
6597
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31530100
—
WI
01
—
389588041
TRICARE
CA
01
—
389588041900
BCBS
WI
01
—
K0000WCVBS
MEDICARE PRACTICE PTAN PENINSULA INTERNAL MEDICINE
AK
01
—
K164556
MEDICARE PTAN
AK
05
—
MD9296
—
AK
01
—
P00168644
RR-MEDICARE
WI
Enumeration date
10/07/2005
Last updated
10/15/2018
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