Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK LAURENCE WAPNER, M.D.
Active Sole ProprietorDR. JACK LAURENCE WAPNER, M.D. is a Addiction Psychiatry healthcare provider located in RANDALLSTOWN, Maryland. NPI 1164688677 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · RANDALLSTOWN, MD
Registration Details
- NPI Number
- 1164688677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2008 (18.050353412071 yrs)
- Last Updated
- Aug 4, 2008
- License
-
D0026048 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11100 LIBERTY RDSUITE FRANDALLSTOWN, MD, 211331026Browse MD providers · Browse ZIP 21133
- Phone
- 4106552740
- Fax
- 4106554740
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.