Individual
DALIA JEANETTE WENCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 19TH ST STE 401, KNOXVILLE, TN 37916-1831
(865) 331-2020
Mailing address
501 19TH ST STE 401, KNOXVILLE, TN 37916-1831
(865) 331-2020
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01063635A
IN
207VM0101X
Maternal & Fetal Medicine Physician
35.126718
OH
207VM0101X
Maternal & Fetal Medicine Physician
40862
MT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
72651
TN
207VM0101X
Maternal & Fetal Medicine Physician
DR.0064268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q100660
—
TN
Enumeration date
05/23/2007
Last updated
03/26/2025
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