Individual
DAVID WENTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 789-8444
(316) 652-0340
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6112
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54197
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024198
BCBS
KS
Enumeration date
02/28/2006
Last updated
07/08/2007
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