Individual
ANDREW ROBERT WENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
610 S LINCOLN RD, ESCANABA, MI 49829-1215
(906) 786-6488
(906) 786-6409
Mailing address
610 S LINCOLN RD, ESCANABA, MI 49829-1215
(906) 786-6488
(906) 786-6409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44241
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44241-21
WISCONSIN LICENSE
WI
01
—
5101014552
MICHIGAN LICENSE
MI
Enumeration date
12/09/2005
Last updated
05/02/2014
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