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Dr. Brandon M Wachal, MD
Facial Plastic Surgery Physician in Annapolis, Maryland
NPI 1710366018

Brandon M Wachal is a Facial Plastic Surgery Physician based in Annapolis, MD and is specialized in Facial Plastic Surgery. Brandon M Wachal practices in Annapolis, MD and has the professional credentials of MD. The NPI Number for Brandon M Wachal is 1710366018 and holds a License No. D0091646 (Maryland).

The current practice location address for Brandon M Wachal is 600 Ridgely Ave Ste 110, Annapolis, MD and can be reached out via phone at 410-573-9191 and via fax at 410-573-5910. You can also correspond with Brandon M Wachal through the mailing address at 600 RIDGELY AVE STE 110, ANNAPOLIS, MD - 21401-1082 (mailing address contact number: 410-573-9191).

Location: 600 Ridgely Ave Ste 110, Annapolis, MD, 21401-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710366018
Provider Name
Brandon M Wachal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Ridgely Ave Ste 110, Annapolis, MD, 21401-1082
Phone Number
410-573-9191
Fax Number
410-573-5910
Provider Enumeration Date
05/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4695852 01 MD AETNA
D0091646 01 MD MARYLAND LICENSE
FN66-0003 01 MD CAREFIRST BCBS
219423600 05 MD
7401 01 NE TEP NUMBER
institution
Provider Business Practice Location Address Details
Address
600 Ridgely Ave Ste 110
City
Annapolis
State
Maryland
Zip
21401-1082
Phone Number
410-573-9191
Fax Number
410-573-5910
person
Provider Business Mailing Address Details
Address
600 Ridgely Ave Ste 110
City
Annapolis
State
Maryland
Zip
21401-1082
Phone Number
410-573-9191
Fax Number
410-573-5910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
D0091646 (Maryland)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
7401 (Nebraska)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
D0091646 (Maryland)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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