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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD G WANDERMAN, MD

Active Sole Proprietor

DR. RICHARD G WANDERMAN, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in MEMPHIS, Tennessee. NPI 1184724312 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · MEMPHIS, TN

Registration Details

NPI Number
1184724312
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2006 (19.886700692488 yrs)
Last Updated
Oct 19, 2022
Licenses
22468 (TN)
22468 (TN)
22468 (TN)
Sole Proprietor
Yes

Practice Information

Address
4646 POPLAR AVE STE 302
MEMPHIS, TN, 381174433
Browse TN providers · Browse ZIP 38117
Phone
9019307397
Fax
9055523902
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Additional Specialty
Family Medicine

Other Adolescent Medicine (Pediatrics) Providers in MEMPHIS, TN

Name Credential NPI
TAMARA P FOLZ MD 1790735124
DR. RHONDA CHARLENE JOHNSON M.D 1104878164
DR. SVETLANA YANISHEVSKI M.D. 1164511085
DR. JUDY E. PERRY M.D. 1477642395
ASHLEY B. MILLER M.D. 1881784650
DR. CHARLES CHRISTOPHER HANSON M.D. 1699857680
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.