NPI 1396124897

Kimberly J Wonderlich MD Faad Dermatology LLC

Organisation Dermatology Physician Fairbanks, AK

Practice location

Address: 2775 College Road, Fairbanks, AK 99709
Phone: (907) 456-1979
Mailing address: 2775 College Rd, Fairbanks, AK 99709-3751

Authorised official

Name: Kimberly Wonderlich
Title: Managing Member
Phone: (907) 456-1979

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 8102 (AK)

Other Dermatology providers in Alaska →

Registry record

NPI: 1396124897
Entity type: Organization
NPI issued: 29 May 2015
Record last updated: 13 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.