Individual
LINDSAY WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
537 UNION AVE, GRANTS PASS, OR 97527
(541) 507-2110
Mailing address
2040 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD186530
OR
Other
Enumeration date
04/10/2013
Last updated
05/25/2018
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