Individual
CODY WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-5230
Mailing address
473 BREGE DR, ROGERS CITY, MI 49779-2022
(989) 255-8731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006900
MI
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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