Individual
PAUL E WENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28100 GRAND RIVER AVE, SUITE 206, FARMINGTON HILLS, MI 48336-5967
(248) 471-1549
(248) 478-1827
Mailing address
28100 GRAND RIVER AVE, SUITE 206, FARMINGTON HILLS, MI 48336-5967
(248) 471-1549
(248) 478-1827
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5101005677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125354
CARE CHOICES
MI
01
—
4380700
AETNA
MI
01
—
P44830
BLUE CROSS
MI
Enumeration date
06/26/2006
Last updated
07/08/2007
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