ANDREW ROBERT WENTZEL DO NPI 1063497204

NPI Information

NPI: 1063497204
Provider Name: ANDREW ROBERT WENTZEL, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
610 S LINCOLN RD
ESCANABA, MI
ZIP 49829
Phone: (906) 786-6488
Get Directions

Andrew Robert Wentzel, DO is a family medicine in Escanaba, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Andrew Robert Wentzel, DO NPI is 1063497204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 S LINCOLN RD
ESCANABA, MI
ZIP 49829-215
Phone: (906) 786-6488
Fax: (906) 786-6409

The enumeration date for this NPI number is 12/9/2005 and was last updated on 5/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		44241	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44241-21	OTHER	WISCONSIN	WISCONSIN LICENSE
2	5101014552	OTHER	MICHIGAN	MICHIGAN LICENSE
3	P38340025	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
4	H67059	MEDICARE UPIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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