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Contact Information

WANDA D JIRAU ROSALY, MD
MADIGAN ARMY MEDICAL CTR
9040 REID ST.
TACOMA, WA98431-0001
 Phone: 253-968-2252
 Fax: 253-968-3278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WANDA D JIRAU ROSALY · (Female)

NPI Number 1720242068
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 077153
  • IN License # 01059043A
Hospital affiliation(s)
  • MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS - (Acute Care)
    1120 15TH STREET
    AUGUSTA, GA 30912
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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