THEODORE J WANDER

SALT LAKE CITY, UT
NPI1730281478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  1785551205)
Enumeration Date2006-09-02
Last Update Date2008-03-18
Business Address
-- THEODORE J WANDER MD
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-4782
Mailing Address
-- THEODORE J WANDER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-4782