Organization
CARDIOLOGY SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK J WENZKE M.D. (PARTNER)
(937) 294-4356
Entity
Organization
Contact information
Practice address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 294-4356
Mailing address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 294-4356
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638966
—
OH
01
—
CK1503
RAILROAD MEDICARE
OH
Enumeration date
01/16/2007
Last updated
03/10/2011
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