Individual
JOSEPH M. WENTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1934 EMERALD WAY, LYNDEN, WA 98264-9734
(360) 320-8579
Mailing address
1934 EMERALD WAY, LYNDEN, WA 98264-9734
(360) 320-8579
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
0101268874
VA
207ND0101X
MOHS-Micrographic Surgery Physician
4270A
WY
207ND0101X
MOHS-Micrographic Surgery Physician
59833
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
60351927
WA
207ND0101X
MOHS-Micrographic Surgery Physician
6255
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096270
BCBS PIN
WY
01
—
0011305
MDCD PIN
MT
01
—
100431000
MDCD PIN
WY
Enumeration date
01/03/2007
Last updated
05/18/2022
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