Individual
DR. JEFFREY N WENTZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686
(231) 947-6246
(231) 947-8864
Mailing address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 947-6246
(231) 947-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301077685
MI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
4901004141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4845630
—
MI
05
—
4845640
—
MI
Enumeration date
12/06/2005
Last updated
06/11/2018
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