Wade Wenger, | |
6913 N Main St, Granger, IN 46530 | |
(574) 647-1550 | |
Not Available |
Full Name | Wade Wenger |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 6913 N Main St, Granger, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700827821 | NPI | - | NPPES |
200886980 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101029795 (Virginia) | Primary |
207P00000X | Emergency Medicine | 01064515A (Indiana) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Wade Wenger, 21717 Knobcone Ct, Bristol, IN 46507-9690 Ph: (574) 850-1123 | Wade Wenger, 6913 N Main St, Granger, IN 46530 Ph: (574) 647-1550 |
Patrick E Southe, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Dennis Patrick Erdman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4306 |