Wurm, Alex Mark

Wurm, Alex Mark is an individual health care provider with primary practice located at 194 Thomas Johnson Dr , Frederick MD 21702-4679. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wurm, Alex Mark can be contacted via phone (240) 215-6310.

Contact Information

Primary practice address
194 Thomas Johnson Dr Frederick MD 21702-4679
Phone: (240) 215-6310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0069210 Maryland
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A103180 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0069210 Maryland

Profile Details

NPI number 1558508887
LBN Legal business name Wurm, Alex Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2009
Last updated Aug 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558508887 NPPES
Maryland MEDICAID 023874100

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