Wenzel, Grace M

Wenzel, Grace M is an individual health care provider with primary practice located at 145 Hospital Ave Ste 113 , Du Bois PA 15801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Wenzel, Grace M can be contacted via phone (814) 375-3722.

Contact Information

Primary practice address
145 Hospital Ave Ste 113 Du Bois PA 15801
Phone: (814) 375-3722
Fax: (814) 375-3086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30487 Alabama
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD467098 Pennsylvania

Profile Details

NPI number 1467640524
LBN Legal business name Wenzel, Grace M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 22nd, 2019 - about 6 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 1467640524 NPPES
Pennsylvania Other 808302 PTAN
Pennsylvania MEDICAID 103629311 PTAN

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