Wenzke, Stephen C.

Wenzke, Stephen C. is an individual health care provider with primary practice located at 122 Wyoming St , Dayton OH 45409-2731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Wenzke, Stephen C. can be contacted via phone (937) 223-4461.

Contact Information

Primary practice address
122 Wyoming St Dayton OH 45409-2731
Phone: (937) 223-4461
Fax: (937) 224-1945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35-048670 Ohio

Profile Details

NPI number 1982603379
LBN Legal business name Wenzke, Stephen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 15th, 2014 - about 10 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 1982603379 NPPES
Ohio Other 000000005831 ANTHEM
Ohio MEDICAID 0572367 ANTHEM

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