Individual
MARC WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5103 KYLE CENTER DR, SUITE 104, KYLE, TX 78640-6163
(512) 551-0855
(512) 551-0856
Mailing address
1601 RIO GRANDE ST, SUITE 415, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J1426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114934604
—
TX
Enumeration date
11/17/2011
Last updated
10/30/2012
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