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Individual

DR. DAVID M WENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3901 OLEANDER DR, WILMINGTON, NC 28403-6733
(910) 395-2772
Mailing address
11086 S.E. OAK ST., MILWAUKEE, OR 97222-6692
(503) 557-2020
(503) 344-5110

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2613
NC
152W00000X
Optometrist
27TO00110700
NJ
152W00000X
Optometrist
3283T
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-02549
EVERCARE
01
2K5747
HEALTHNET
01
7312177
AETNA
01
C406C10
EMPIRE
01
P00318029
RAILROAD MEDICARE
Enumeration date
11/02/2006
Last updated
05/15/2020
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