Wenck, Todd Michael

Wenck, Todd Michael is an individual health care provider with primary practice located at 3740 Utica Ridge Rd Ste B, Bettendorf IA 52722-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wenck, Todd Michael can be contacted via phone (563) 344-7400.

Contact Information

Primary practice address
3740 Utica Ridge Rd Ste B Bettendorf IA 52722-1624
Phone: (563) 344-7400
Fax: (563) 359-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34193 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107635 Illinois

Profile Details

NPI number 1750353595
LBN Legal business name Wenck, Todd Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 14th, 2016 - about 9 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 1750353595 NPPES
Illinois Other 036107635 LIC #
Illinois Other 35176 LIC #
Illinois Other P00109991 LIC #
Illinois Other 34193 LIC #
Illinois MEDICAID 1214049 LIC #
Illinois Other 8122900 LIC #
Illinois MEDICAID 036-107635 LIC #
Illinois Other 087306 LIC #

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