Individual
PETER V. WENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 NORTH PIKE STREET, GRAFTON, WV 26354-1270
(304) 265-4909
(304) 265-4915
Mailing address
PO BOX 35, NEWBURG, WV 26410-0035
(304) 892-2828
(304) 892-2927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22587
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007172
—
WV
Enumeration date
11/07/2006
Last updated
11/30/2007
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