Individual
MICHAEL SCOTT WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.F.P.
Contact information
Practice address
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER, FAIRFAX, VA 22033-3952
(703) 934-5700
(703) 934-5835
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057449
VA
207Q00000X
Family Medicine Physician
1025416
MD
207Q00000X
Family Medicine Physician
MD039465
DC
Other
Enumeration date
08/02/2005
Last updated
06/13/2021
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