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Individual

JEFFREY STUART WENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1117 N OLIVE AVE, STE. 203, WEST PALM BEACH, FL 33401-3520
(561) 802-9050
(561) 802-9059
Mailing address
1117 N OLIVE AVE, STE. 203, WEST PALM BEACH, FL 33401-3520
(561) 802-9050
(561) 802-9059

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME58377
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064800100
FL
Enumeration date
08/11/2005
Last updated
09/19/2012
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