Individual
RYAN JOSEPH WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 403-6314
Mailing address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 403-6314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37903
OK
207Q00000X
Family Medicine Physician
R-11109
IA
Other
Enumeration date
05/11/2018
Last updated
08/12/2021
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