Provider Demographics
NPI:1063531291
Name:WARD, ABNER MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ABNER
Middle Name:MICHAEL
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3365 G ST STE 60
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0994
Mailing Address - Country:US
Mailing Address - Phone:209-723-2799
Mailing Address - Fax:209-723-2984
Practice Address - Street 1:3365 G ST STE 60
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0994
Practice Address - Country:US
Practice Address - Phone:209-723-2799
Practice Address - Fax:209-723-2984
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86332207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA86332OtherMEDICAL BOARD
1710412010OtherGROUP NPI