Organization
JOHN D WENZEL DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D WENZEL DO (OWNER)
(517) 349-9550
Entity
Organization
Contact information
Practice address
1667 HAMILTON RD, OKEMOS, MI 48864-1809
(517) 349-9550
(517) 349-7650
Mailing address
1667 HAMILTON RD, OKEMOS, MI 48864-1809
(517) 349-9550
(517) 349-7650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853301424
BCBS OF MI
MI
Enumeration date
08/02/2006
Last updated
04/17/2012
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