Individual
MR. PETER F WENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1440 MULFORD RD, COLUMBUS, OH 43212-3403
(614) 486-8296
Mailing address
1440 MULFORD RD, COLUMBUS, OH 43212-3403
(614) 486-8296
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
121246
OH
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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