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Dr. Richard G Wanderman, MD
Pediatric Adolescent Medicine Physician in Memphis, Tennessee
NPI 1184724312

Richard G Wanderman is a Pediatric Adolescent Medicine Physician based in Memphis, TN and is specialized in Adolescent Medicine. Richard G Wanderman practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Richard G Wanderman is 1184724312 and holds a License No. 22468 (Tennessee).

The current practice location address for Richard G Wanderman is 4646 Poplar Ave Ste 302, Memphis, TN and can be reached out via phone at 901-930-7397 and via fax at 905-552-3902.

Location: 4646 Poplar Ave Ste 302, Memphis, TN, 38117-4433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184724312
Provider Name
Richard G Wanderman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4646 Poplar Ave Ste 302, Memphis, TN, 38117-4433
Phone Number
901-930-7397
Fax Number
905-552-3902
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3194814 05 TN
institution
Provider Business Practice Location Address Details
Address
4646 Poplar Ave Ste 302
City
Memphis
State
Tennessee
Zip
38117-4433
Phone Number
901-930-7397
Fax Number
905-552-3902
person
Provider Business Mailing Address Details
Address
4646 Poplar Ave Ste 302
City
Memphis
State
Tennessee
Zip
38117-4433
Phone Number
901-930-7397
Fax Number
905-552-3902
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
22468 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22468 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
22468 (Tennessee)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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