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Individual

DR. DANIEL JOHN WENZL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
203 AVALON AVENUE, SUITE 200, MUSCLE SHOALS, AL 35661-2855
(256) 386-1110
(256) 386-1114
Mailing address
203 AVALON AVENUE, SUITE 200, MUSCLE SHOALS, AL 35661-2855
(256) 386-1110
(256) 386-1114

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00012269
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000060830
BLUE CROSS BLUE SHIELD
PA
05
000014931
AL
01
0051047
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/30/2006
Last updated
12/23/2011
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