Individual
DYLAN ROY WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11880 VELP AVE STE F, GREEN BAY, WI 54313-7881
(920) 857-3126
Mailing address
11880 VELP AVE STE F, GREEN BAY, WI 54313-7881
(920) 857-3126
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5559-12
WI
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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