Individual
MARGIE WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13170 RAVENNA RD STE 102, CHARDON, OH 44024-7022
(440) 286-9238
(440) 286-4832
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 286-9238
(440) 286-4832
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OH35058266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0744369
—
OH
Enumeration date
07/11/2006
Last updated
06/30/2011
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