Individual
H DAVID WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1905 ABBOT RD, SUITE 4, EAST LANSING, MI 48823-8571
(517) 351-9303
Mailing address
1905 ABBOT RD, SUITE 4, EAST LANSING, MI 48823-8571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062C34574
BCBSM
MI
Enumeration date
09/26/2007
Last updated
09/26/2007
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