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Individual
GERALD ROBERT WENIGER
Active
Individual
GERALD ROBERT WENIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126000634
VA
363AS0400X
Surgical Physician Assistant
Primary
0110002843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700099215
—
VA
Enumeration date
05/08/2007
Last updated
08/05/2008
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