Individual
ROBERT M. WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 E MAIN ST, UNION, SC 29379-1902
(864) 427-9045
(864) 427-8826
Mailing address
PO BOX 602573, CHARLOTTE, NC 28260-2573
(864) 427-9045
(864) 427-8826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4895
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048950
—
SC
Enumeration date
07/22/2006
Last updated
12/10/2015
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