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Individual

WAYNE W. WENZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
16310
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01163104
CO
Enumeration date
08/31/2006
Last updated
09/21/2011
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