Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Laurence Wapner, MD

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1164688677

Dr. Jack Laurence Wapner, MD is an Addiction Medicine (Psychiatry & Neurology) Physician in Randallstown, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11100 Liberty Rd Ste F
Randallstown, MD 21133-1026
Phone: (410) 655-2740
Fax: (410) 655-4740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X · Licence D0026048 (MD)

Record details

NPI number1164688677
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2008
Last updated in NPPESAugust 4, 2008
Mailing address11100 Liberty Rd, Suite F, Randallstown, MD 21133-1026

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