MEDICARE: ROBIN LUANNA WENK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1356127344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN LUANNA WENK

Provider Business Mailing Address
First Line	:	1440 MULFORD RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3403
Country	:	US
Telephone Number	:	614-266-3208
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 MULFORD RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3403
Country	:	US
Telephone Number	:	614-266-3208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	09/27/2023

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Directions to “ ROBIN LUANNA WENK ” Practice Location

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