Healthcare Provider Details

I. General information

NPI: 1033557541
Provider Name (Legal Business Name): SARAH CATHERINE WENZINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CATHERINE MICHALOWSKI M.D.

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E JEFFERSON ST
CHARLOTTESVILLE VA
22902-5354
US

IV. Provider business mailing address

1011 E JEFFERSON ST
CHARLOTTESVILLE VA
22902-5354
US

V. Phone/Fax

Practice location:
  • Phone: 434-296-9161
  • Fax:
Mailing address:
  • Phone: 434-296-9161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLL35766
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101263263
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: