Individual
GERALD ROBERT WENIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
545 RAY C HUNT DRIVE, UVA ORTHOPAEDIC CENTER AT FONTAINE, CHARLOTTESVILLE, VA 22903-0001
(434) 243-5432
(434) 982-0012
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126000634
VA
363AS0400X
Surgical Physician Assistant
Primary
0110002843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700099215
—
VA
Enumeration date
05/08/2007
Last updated
08/05/2008
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