Organization
DONALD E. WENNER M.D. F.A.C.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZAMORA (OFFICE MANAGER)
(575) 622-4374
Entity
Organization
Contact information
Practice address
1600 S.E. MAIN STREET STE F, ROSWELL, NM 88203
(575) 622-4374
(575) 623-1161
Mailing address
1600 S.E. MAIN STREET STE F, ROSWELL, NM 88203
(575) 622-4374
(575) 623-1161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85-124
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35246
—
NM
Enumeration date
08/21/2006
Last updated
07/17/2024
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