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Individual

DAVID JOHN WENZEL

Active
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Individual

DAVID JOHN WENZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81112
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401340
UNITED HEALTH CARE
MA
01
081112
TUFTS
MA
01
4254630
AETNA
MA
01
690827
HARVARD PILGRIM
MA
01
B10183301
CIGNA
MA
01
BCBS
J31278
MA
01
M21670
MEDICARE GROUP PROVIDER
MA
Enumeration date
05/31/2006
Last updated
08/29/2011
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