Individual
JOSEPH A WENSZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3605
(920) 433-3589
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3605
(920) 433-3589
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
527207
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP106187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003440702
—
TX
01
—
430061211
MEDICARE PART B RAILROAD
TX
01
—
45577
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
—
Enumeration date
05/12/2006
Last updated
09/23/2020
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