Individual
DR. BRUCE GILBERT WENIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1737 CRESTLINE CT NE, ATLANTA, GA 30345-3814
(404) 634-1089
Mailing address
1737 CRESTLINE CT NE, ATLANTA, GA 30345-3814
(404) 634-1089
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
164856-1205
UT
2083P0901X
Public Health & General Preventive Medicine Physician
GFE47172
CA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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