Individual
BROOKE WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(847) 220-1262
Mailing address
423 LAMONT TER, BUFFALO GROVE, IL 60089-1168
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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