NPI 1497949697

William W Wennen MD Facs

Organisation Plastic Surgery Physician Fairbanks, AK

Practice location

Address: 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939
Phone: (907) 451-8775
Fax: (907) 451-7716

Authorised official

Name: William W Wennen
Title: President
Phone: (907) 451-8775

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence AA1264 (AK)

Other Plastic Surgery providers in Alaska →

Registry record

NPI: 1497949697
Entity type: Organization
NPI issued: 30 Aug 2007
Record last updated: 13 Aug 2010

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.