Organization
MIAMI VALLEY CARDIOLOGISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C WENZKE MD (PRESIDENT)
(937) 223-4461
Entity
Organization
Contact information
Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 224-1945
Mailing address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 224-1945
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35048670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359964
—
OH
Enumeration date
07/18/2005
Last updated
08/22/2020
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