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Individual

ROSS ADAM WANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST RM M53-A, LEXINGTON, KY 40536-7001
(859) 323-5083
Mailing address
800 ROSE ST RM M-53, LEXINGTON, KY 40536-0293
(859) 323-5083
(859) 323-5682

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57027
KY

Other

Enumeration date
03/26/2020
Last updated
04/20/2023
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