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Individual

DR. DAVID R. WENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2300 VARTAN WAY STE 270, HARRISBURG, PA 17110-9720
(717) 221-7890
(717) 221-7891
Mailing address
2300 VARTAN WAY STE 270, HARRISBURG, PA 17110-9720
(717) 221-7890
(717) 221-7891

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005483-L
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
OS005483L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10980830001
PA
Enumeration date
12/21/2005
Last updated
02/10/2022
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