Individual
EARL WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1958 S INDUSTRIAL HWY STE C, ANN ARBOR, MI 48104-4625
(734) 585-0449
Mailing address
4237 LAKE FOREST DR E, ANN ARBOR, MI 48108-9681
(734) 730-9300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000888
MI
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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