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STEPHEN C. WENZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 224-1945
Mailing address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 224-1945

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35-048670
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000005831
ANTHEM
OH
05
0572367
OH
Enumeration date
07/18/2005
Last updated
08/15/2014
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