| Dylan Roy Wenzel, DC | |
|
11880 Velp Ave Ste F, Green Bay, WI 54313-7881 | |
| (920) 857-3126 | |
| Not Available |
| Full Name | Dylan Roy Wenzel |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 11880 Velp Ave Ste F, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568076081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5559-12 (Wisconsin) | Primary |
| Provider Name | Health In Motion Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386263374 PECOS PAC ID: 0345671889 Enrollment ID: O20200515002076 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Roy Wenzel, DC 11880 Velp Ave Ste F, Green Bay, WI 54313-7881 Ph: (920) 857-3126 | Dylan Roy Wenzel, DC 11880 Velp Ave Ste F, Green Bay, WI 54313-7881 Ph: (920) 857-3126 |
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