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1376642355
CHARLES K WANICH
MERRITT ISLAND, FL
NPI
1376642355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: FL ME36933)
Enumeration Date
2006-09-22
Last Update Date
2011-10-26
Business Address
-- CHARLES K WANICH MD
245 S COURTENAY PARKWAY BLDG B
MERRITT ISLAND, FL 32952
Phone number: 321-453-5326
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Mailing Address
-- CHARLES K WANICH MD
245 S COURTENAY PARKWAY BLDG B
MERRITT ISLAND, FL 32952
Phone number: 321-453-5326
Copy
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