Individual
CORI WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E HENNICK ST, PINEDALE, WY 82941-5228
(307) 367-0099
Mailing address
PO BOX 69, AFTON, WY 83110-0069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PT833
WY
Other
Enumeration date
09/10/2019
Last updated
10/08/2025
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