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1629077854
IAN MICHAEL WATTENMAKER
LEESBURG, VA
NPI
1629077854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: VA 0101049672)
Enumeration Date
2005-07-19
Last Update Date
2024-03-18
Business Address
IAN MICHAEL WATTENMAKER M.D.
19450 DEERFIELD AVENUE, SUITE 200
LEESBURG, VA 20176-6821
Phone number: 703-777-1553
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Mailing Address
IAN MICHAEL WATTENMAKER M.D.
224D CORNWALL ST NW STE 403
LEESBURG, VA 20176-2704
Phone number: 703-737-6010
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