Individual
MARK B WENNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 UPLAND RD, NEWTONVILLE, MA 02460-2422
(617) 480-5049
Mailing address
223 UPLAND RD, NEWTONVILLE, MA 02460-2422
(617) 480-5049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58179
MA
Other
Enumeration date
01/30/2007
Last updated
10/02/2020
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