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Individual

WENDELL D MARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1700
(717) 267-7164
(717) 267-7414
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN328684L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050514
GROUP MEDICARE #
PA
01
1007307260035
MEDICAID GROUP #
PA
05
101983977
PA
01
120420418
DEPT OF LABOR
PA
01
238574
UNISON
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
50073152
CAPITAL BLUECROSS
PA
01
G920-0088/85XWCU
CAREFIRST
PA
01
P00618649
RAILROAD MEDICARE
PA
01
PEARL PROVIDER
HEALTH AMERICA
PA
01
RN328684L
LICENSE
PA
Enumeration date
08/30/2005
Last updated
10/21/2021
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