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Individual
PHILIP M. WANZEK
Active
Individual
PHILIP M. WANZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14669
ND
208800000X
Urology Physician
56768
MN
Other
Enumeration date
06/15/2012
Last updated
07/21/2022
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