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Individual
DR. JULIE MARIE WENTZ
Active
Individual
DR. JULIE MARIE WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-00080
NC
207Q00000X
Family Medicine Physician
2054
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093760324
—
NC
05
—
3810005456
—
WV
Enumeration date
05/24/2006
Last updated
11/21/2022
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