Wentzel, Andrew Robert

Wentzel, Andrew Robert is an individual health care provider with primary practice located at 610 S Lincoln Rd , Escanaba MI 49829-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wentzel, Andrew Robert can be contacted via phone (906) 786-6488.

Contact Information

Primary practice address
610 S Lincoln Rd Escanaba MI 49829-1215
Phone: (906) 786-6488
Fax: (906) 786-6409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44241 Wisconsin

Profile Details

NPI number 1063497204
LBN Legal business name Wentzel, Andrew Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063497204 NPPES
Michigan Other 5101014552 MICHIGAN LICENSE
Michigan Other 44241-21 MICHIGAN LICENSE

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