Individual
ERIC WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 W CASE DR, HUDSON, OH 44236-2740
(330) 998-4180
Mailing address
65 W CASE DR, HUDSON, OH 44236-2740
(330) 998-4180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN228655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN228655
—
OH
Enumeration date
02/06/2016
Last updated
02/06/2016
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