Individual
DR. MARK A WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617-1135
(419) 841-1510
(419) 841-1513
Mailing address
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617-1135
(419) 841-1510
(419) 841-1513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052702
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0868164
—
OH
01
—
P00150254
RAILROAD MEDICARE
OH
Enumeration date
03/08/2006
Last updated
05/31/2011
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