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Contact Information

JOHN D WANWIG, MD
1901 SO UNION
STE A305 ALLENMORE MEDICAL CENTER
TACOMA, WA98405
 Phone: 253-272-3031
 Fax: 253-272-9449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JOHN D WANWIG · (Male)

NPI Number 1639360936
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2007
Last updated 05/10/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • WA License # 12582
  • WA Medicaid 1047786
  • Other WA7229 REGENCE
  • WA Other 21793 L & I
Hospital affiliation(s) Not Available
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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