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Organization
MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION
Active
Organization
MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K WENSLEY MD (PRESIDENT)
(949) 705-8226
Entity
Organization
Contact information
Practice address
1601 DOVE ST STE 170, NEWPORT BEACH, CA 92660-1421
(949) 467-9081
(714) 429-1685
Mailing address
1601 DOVE ST STE 170, NEWPORT BEACH, CA 92660-1421
(949) 467-9081
(209) 203-1036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G78267
CA
Other
Enumeration date
12/14/2009
Last updated
08/16/2024
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