Individual
MATTHEW D WENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 DOLWICK DR, ERLANGER, KY 41018-2774
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4468
(859) 212-4357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35022
KY
207R00000X
Internal Medicine Physician
Primary
35022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2429045
—
OH
05
—
64013246
—
KY
Enumeration date
10/24/2005
Last updated
06/09/2020
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