Individual
DR. DIANE F WENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 MAIN ST, DANBURY, CT 06810-7863
(203) 794-1979
(203) 794-1796
Mailing address
132 MAIN ST, DANBURY, CT 06810-7863
(203) 794-1979
(203) 794-1796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028402
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001284025
—
CT
Enumeration date
04/27/2006
Last updated
09/12/2007
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