Individual
OLIVIA KAY WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15988B E CHESTNUT ST, MOUNT EATON, OH 44659
(330) 359-9888
(330) 359-9890
Mailing address
PO BOX 336, MOUNT EATON, OH 44659-0336
(330) 359-9888
(330) 359-9890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.089916
OH
208000000X
Pediatrics Physician
Primary
35089916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.089916
OH MEDICAL LICENSE
OH
Enumeration date
04/22/2008
Last updated
05/17/2018
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