Individual
STEVEN D WENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
620 E. WILMINGTON AVE., SALT LAKE CITY, UT 84106-1421
(801) 466-2884
(801) 466-2884
Mailing address
620 E. WILMINGTON AVE., SALT LAKE CITY, UT 84106-1421
(801) 466-2884
(801) 466-2884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
11/05/2007
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