Individual
MICHAEL JOHN WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
(541) 817-6194
Mailing address
102 S MARION AVE, BREMERTON, WA 98312-3639
(541) 817-6194
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN61104015
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61104015
WA
Other
Enumeration date
06/21/2024
Last updated
07/01/2025
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