Provider Demographics
NPI:1235100025
Name:VANZEE, WAYNE A (MD)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:A
Last Name:VANZEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:276 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24263-1215
Mailing Address - Country:US
Mailing Address - Phone:276-546-5310
Mailing Address - Fax:276-546-5469
Practice Address - Street 1:241 MONARCH ROAD
Practice Address - Street 2:
Practice Address - City:ST. CHARLES
Practice Address - State:VA
Practice Address - Zip Code:24282-0269
Practice Address - Country:US
Practice Address - Phone:276-383-4428
Practice Address - Fax:276-383-4927
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027222207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B07765Medicare UPIN