Individual
DONALD J WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 794-4372
(336) 659-2379
Mailing address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 794-4372
(336) 659-2379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891321G
—
NC
Enumeration date
07/21/2006
Last updated
07/18/2008
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