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

MR. JASON BRENT WANNER, D.O.

Active

MR. JASON BRENT WANNER, D.O. is a Ophthalmology healthcare provider located in PRINCE FREDERICK, Maryland. NPI 1558377713 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · PRINCE FREDERICK, MD

Registration Details

NPI Number
1558377713
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2006 (20.078380411842 yrs)
Last Updated
Nov 27, 2007
License
H0062629 (MD)

Practice Information

Address
800 PRINCE FREDERICK BLVD.
PRINCE FREDERICK, MD, 20678
Browse MD providers · Browse ZIP 20678
Phone
4105352270
Fax
4105355749
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in PRINCE FREDERICK, MD

Name Credential NPI
DR. MICHAEL JOSEPH DODD MD 1407807340
KATHLEEN HAAS MILLER M.D. 1457369852
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.