Individual
DAVID J WENZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2990 MACK RD STE 107, FAIRFIELD, OH 45014-5384
(513) 860-4801
(513) 682-4186
Mailing address
2925 VERNON PL STE 100, CINCINNATI, OH 45219-2425
(513) 751-6667
(513) 872-4553
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-084979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2530890
—
OH
Enumeration date
06/07/2006
Last updated
07/10/2019
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