Individual provider · Type 1 NPI

Robert Wade Wineman, MD

Diagnostic Radiology Physician · Jackson, MS

NPI number 1760690713 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Fax (601) 682-7909

Mailing address

PO Box 55769
Jackson, MS 39296-5769

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X0101237841 (VA)
Diagnostic Radiology Physician Primary 2085R0202X20544 (MS)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1760690713

Robert Wade Wineman, MD's National Provider Identifier is 1760690713, issued on May 21, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, MS. The record was last updated on Feb 10, 2017.