Individual
PHILLIP WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8360
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R191643
MD
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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