KURT ALAN VAN WAGENEN M.D.
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1649703448- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1201 7TH ST SE, DECATUR, AL, 356013337
- Phone
- (256) 764-9697
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Anesthesiology
Primary License: AL #MD.37306
All Addresses
MAILING
PO BOX 757
FLORENCE, AL, 356310757