Individual
MS. LISA A WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CES
Contact information
Practice address
2501 W BELTLINE HWY, SUITE 207, MADISON, WI 53713-2318
(608) 417-6102
(608) 417-5770
Mailing address
2501 W BELTLINE HWY, SUITE 207, MADISON, WI 53713-2318
(608) 417-6102
(608) 417-5770
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001700
—
WI
Enumeration date
07/30/2010
Last updated
10/05/2011
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