Wencker, Detlef

Wencker, Detlef is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Wencker, Detlef can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-1544
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D00000 Maryland
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X R4343 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-36793 Kansas

Profile Details

NPI number 1285634881
LBN Legal business name Wencker, Detlef
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 2nd, 2022 - about 4 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 1285634881 NPPES
Connecticut Other 3787093 AETNA
Connecticut Other 040611 AETNA
Connecticut MEDICAID 001406116 AETNA
Connecticut Other 010040611CT02 AETNA
Connecticut Other P00212817 AETNA

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