NPI 1629077854

Ian Michael Wattenmaker, MD

Practitioner Orthopaedic Surgery Physician Leesburg, VA

Practice location

Address: 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176-6821
Phone: (703) 777-1553
Fax: (703) 777-5524
Mailing address: 224d Cornwall St NW STE 403, Leesburg, VA 20176-2704

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 0101049672 (VA)

Other Orthopaedic Surgery providers in Virginia →

Registry record

NPI: 1629077854
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2005
Record last updated: 18 Mar 2024

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.