GREGORY L WAKEMAN DO

Dr GREGORY L WAKEMAN DO is a male medical professional, specializing in Family Medicine. He graduated in 1994 from College Of Osteo Of The Pacific.

Contact

6971 EL CAMINO REAL
SUITE 101
CARLSBAD
CA
920094114

Tel: 7606033221

GREGORY L WAKEMAN DO Information

Npi 1679663777
Pac Id 6507893096
Professional Enrollment Id I20050726001186
Last Name WAKEMAN
First Name GREGORY
Middle Name L
Suffix
Gender M
Credential DO
Medical School Name COLLEGE OF OSTEO OF THE PACIFIC
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 6971 EL CAMINO REAL
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City CARLSBAD
State CA
Zip Code 920094114
Phone Number 7606033221
Hospital Affiliation Ccn 1 050503
Hospital Affiliation Lbn 1 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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