Individual provider · Type 1 NPI

Keenan C. Wanamaker, DO

Vascular Surgery Physician · Montgomery, AL

NPI number 1972508968 Active

Practice location

7085 Sydney Curv
Montgomery, AL 36117-3509

Call (334) 246-4774 Map

Fax (334) 246-2450

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X3721 (AZ)
Surgery Physician 208600000XDO-900 (AL)
Vascular Surgery Physician Primary 2086S0129X3721 (AZ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1972508968

Keenan C. Wanamaker, DO's National Provider Identifier is 1972508968, issued on Jun 16, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Montgomery, AL. The record was last updated on May 10, 2021.