| John D Wenzel Do Pllc | |
|
1667 Hamilton Rd Okemos MI 48864-1809 | |
| (517) 349-9550 | |
| (517) 349-7650 |
| Full Name | John D Wenzel Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1667 Hamilton Rd, Okemos, Michigan |
| Authorized Official Name and Position | John D Wenzel (OWNER) |
| Authorized Official Contact | 5173499550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Wenzel Do Pllc 1667 Hamilton Rd Okemos MI 48864-1809 Ph: (517) 349-9550 | John D Wenzel Do Pllc 1667 Hamilton Rd Okemos MI 48864-1809 Ph: (517) 349-9550 |
| NPI Number | 1053328153 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 04/17/2012 |
| Medicare PECOS PAC ID | 8628964954 |
|---|---|
| Medicare Enrollment ID | O20040224001093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053328153 | NPI | - | NPPES |
| 0853301424 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101012150 (Michigan) | Primary |
| Provider Name | John D Wenzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558378323 PECOS PAC ID: 9335035666 Enrollment ID: I20040224001131 |
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