WENCESLOUS FRU

ANCHORAGE, AK
NPI1245608975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AK  114514)
Enumeration Date2015-09-11
Last Update Date2020-10-14
Business Address
WENCESLOUS FRU PA-C
3300 PROVIDENCE DR SUITE B314
ANCHORAGE, AK 99508-4690
Phone number: 907-212-3420
Mailing Address
WENCESLOUS FRU PA-C
22301 W ALSOP RD
WASILLA, AK 99623-5023
Phone number: 907-538-2308