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Individual

DR. JENNIFER LINN WENTZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.S.

Contact information

Practice address
57 RATLIFF ST, LUCEDALE, MS 39452-5731
(601) 766-0308
(601) 766-0309
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 766-0308
(601) 766-0309

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31407
MS
208600000X
Surgery Physician
34714
OK
208600000X
Surgery Physician
MMD.36943 LL
SC

Other

Enumeration date
06/02/2014
Last updated
07/30/2025
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