Individual
ROBERT E WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320
Mailing address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
D0013564
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61489901
BLUE SHIELD
MD
01
—
W2270014
GHI
DC
01
—
W412
MEDICARE
MD
Enumeration date
08/31/2006
Last updated
11/27/2007
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