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Individual
DR. DANIEL JOHN WENZL
Active
Individual
DR. DANIEL JOHN WENZL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00012269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000060830
BLUE CROSS BLUE SHIELD
PA
05
—
000014931
—
AL
01
—
0051047
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/30/2006
Last updated
12/23/2011
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