Individual
BRENTIN FRANCIS WENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-6490
Mailing address
1402 LOCKSDALE CT, CHESAPEAKE, VA 23322-4613
(443) 955-2848
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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