NPI 1326301250
Philip M. Wanzek, DO
Practice location
- Address
- 3000 32nd Ave S, Fargo, ND 58103-6132
- Phone
- (701) 364-8000
- Mailing address
- 1702 University Dr S, Fargo, ND 58103-4940
Registered specialties (2)
Urology Physician
Primary
Urology Physician
Registry record
- NPI
- 1326301250
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jun 2012
- Record last updated
- 21 Jul 2022
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.