Individual
DR. JACK DONOVAN SEDWICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 DALE ST, #201, ANCHORAGE, AK 99508-5445
(907) 561-1185
(907) 561-0327
Mailing address
PO BOX 201875, ANCHORAGE, AK 99520-1875
(907) 561-1185
(907) 561-0327
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5240
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2745
—
AK
Enumeration date
02/02/2006
Last updated
01/29/2008
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