Individual
FREDERICK P WENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3969 SOUTH COBB DRIVE, SUITE 108, SMYRNA, GA 30080
(770) 436-0041
(770) 436-0335
Mailing address
3969 SOUTH COBB DRIVE, SUITE 108, SMYRNA, GA 30080
(770) 436-0041
(770) 436-0335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
GA27688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004049022
AETNA
—
05
—
00325025A
—
GA
01
—
52159038
BLUE CROSS
GA
Enumeration date
10/31/2006
Last updated
07/08/2007
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