Individual
AMY DILWEG WENHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18644 TANTERRA WAY, BROOKEVILLE, MD 20833-2832
(301) 646-0869
Mailing address
18644 TANTERRA WAY, BROOKEVILLE, MD 20833-2832
(301) 646-0869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T10587
AMERICAN COUNCIL ON EXERCISE
MD
Enumeration date
09/06/2019
Last updated
09/06/2019
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