Individual
KRISTIN MARIE WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1604 WEDGEWOOD WAY, WOOSTER, OH 44691-1974
(614) 406-3037
(614) 880-9331
Mailing address
1120 POLARIS PKWY STE 200, COLUMBUS, OH 43240-4042
(614) 880-9333
(614) 880-9331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232254
—
OH
Enumeration date
03/13/2014
Last updated
08/13/2022
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