Wawro, Peter Anthony

Wawro, Peter Anthony is an sole proprietor health care provider with primary practice located at 801 N Tustin Ave Suite 305, Santa Ana CA 92705-3612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Wawro, Peter Anthony can be contacted via phone (714) 953-4442.

Contact Information

Primary practice address
801 N Tustin Ave Suite 305 Santa Ana CA 92705-3612
Phone: (714) 953-4442
Fax: (714) 564-0399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G44719 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G44719 California

Profile Details

NPI number 1487691051
LBN Legal business name Wawro, Peter Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Aug 8th, 2007 - about 17 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 1487691051 NPPES
California MEDICAID 00G447191

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