Provider Demographics
NPI:1225120793
Name:WEHNERT, JOANN NEUMAN (PD)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:NEUMAN
Last Name:WEHNERT
Suffix:
Gender:F
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 N HERON DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-4778
Mailing Address - Country:US
Mailing Address - Phone:410-520-0120
Mailing Address - Fax:410-524-4288
Practice Address - Street 1:231 N HERON DR
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-4778
Practice Address - Country:US
Practice Address - Phone:410-520-0120
Practice Address - Fax:410-524-4288
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist