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NPI Code Detail

MEDICARE: HOWARD F WUNDERLICH MD

MEDICARE:   HOWARD F WUNDERLICH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician35037718WOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285626176
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD F WUNDERLICH MD
Provider Business Mailing Address
First Line : 1222 S PATTERSON BLVD
Second Line : SUITE 120
City : DAYTON
State : OH
Zip : 45402-2684
Country : US
Telephone Number : 937-208-9090
Fax Number : 937-208-9075
Provider Business Practice Location Address
First Line : 1222 S PATTERSON BLVD
Second Line : SUITE 120
City : DAYTON
State : OH
Zip : 45402-2684
Country : US
Telephone Number : 937-208-9090
Fax Number : 937-208-9075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 11/19/2013

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Directions to “ HOWARD F WUNDERLICH MD” Practice Location

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