Individual
MICHAEL G WENKSTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E CHURCH ST, MARTINSVILLE, VA 24112-3225
(276) 638-2354
(276) 638-3398
Mailing address
1100 E CHURCH ST, MARTINSVILLE, VA 24112-3225
(276) 638-2354
(276) 638-3398
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101035460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006443257
—
VA
01
—
065845
BC
VA
05
—
5901472
—
NC
Enumeration date
11/11/2005
Last updated
04/03/2012
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