Individual
ADAM WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 2ND ST, DULUTH, MN 55802
(218) 724-3122
Mailing address
620 N 23RD AVE W, DULUTH, MN 55806-1524
(320) 336-8677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
10/22/2018
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