Individual
DR. KRISTINA MICHELE WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 LINWOOD DR, SUITE H, PARAGOULD, AR 72450-7223
(870) 236-7337
(870) 236-7332
Mailing address
4000 LINWOOD DR, SUITE H, PARAGOULD, AR 72450-7223
(870) 236-7337
(870) 236-7332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E3680
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149755001
—
AR
01
—
5M546
BLUE CROSS
AR
Enumeration date
12/04/2006
Last updated
09/02/2015
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