Individual
JOHN WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6161
(608) 826-2710
Mailing address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6161
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27350
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30689900
—
WI
Enumeration date
03/27/2006
Last updated
02/21/2014
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