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Individual

MR. WILLIAM J WENGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2009 BOTULPH RD, SUITE 500, SANTE FE, NM 87505
(505) 986-2890
(505) 986-2893
Mailing address
2009 BOTULPH RD, SUITE 500, SANTE FE, NM 87505
(505) 986-2890
(505) 986-2893

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
98-414
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T9528
NM
Enumeration date
10/02/2006
Last updated
09/03/2013
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