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Contact Information

ROMEL C WRENN, MD
1650 COWLES ST
FAIRBANKS, AK99701
 Phone: 907-458-6450
 Fax: 907-458-6430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROMEL C WRENN · (Male)

NPI Number 1255302717
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 05/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 014701
  • LA Medicaid 1366269
  • LA Other 060067787 RAILROAD MEDICARE
Hospital affiliation(s)
  • FAIRBANKS MEMORIAL HOSPITAL - (Acute Care)
    1650 COWLES STREET
    FAIRBANKS, AK 99701
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
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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