| Kristin Wenger Do Llc | |
|
128 E Milltown Rd Ste 105 Wooster OH 44691-1276 | |
| (330) 345-8060 | |
| Not Available |
| Full Name | Kristin Wenger Do Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 E Milltown Rd Ste 105, Wooster, Ohio |
| Authorized Official Name and Position | Kristin Wenger (EMPLOYEE) |
| Authorized Official Contact | 6144063037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Wenger Do Llc 1604 Wedgewood Way Wooster OH 44691-1974 Ph: (614) 406-3037 | Kristin Wenger Do Llc 128 E Milltown Rd Ste 105 Wooster OH 44691-1276 Ph: (330) 345-8060 |
| NPI Number | 1902537202 |
|---|---|
| Provider Enumeration Date | 06/19/2022 |
| Last Update Date | 08/13/2022 |
| Medicare PECOS PAC ID | 1355724733 |
|---|---|
| Medicare Enrollment ID | O20220817002936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902537202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kristin Wenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730505793 PECOS PAC ID: 2264705383 Enrollment ID: I20170911002956 |
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