Individual
EVAN JAMES WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 N MEDICAL PARK DR STE 109, FISHERSVILLE, VA 22939-2353
(540) 332-4169
(540) 332-4168
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5275
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101232781
VA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
0101232781
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04857
MEDICARE GROUP NUMBER
—
Enumeration date
03/22/2006
Last updated
11/13/2023
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