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NPI Code Detail

MEDICARE: DR. ANDREW JOSEPH WENGERT D.C.

MEDICARE:  DR. ANDREW JOSEPH WENGERT  D.C.
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
1111N00000XChiropractorCH9876FL

General Provider Information

NPI Number : 1184851420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JOSEPH WENGERT D.C.
Provider Business Mailing Address
First Line : 14041 NIGHTHAWK TER
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6344
Country : US
Telephone Number : 941-896-2175
Fax Number :
Provider Business Practice Location Address
First Line : 1859 LAKEWOOD RANCH BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4901
Country : US
Telephone Number : 941-896-2175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2009
Last Update Date : 06/28/2011

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Directions to “ DR. ANDREW JOSEPH WENGERT D.C.” Practice Location

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