MEDICARE: DANIEL ROBERT WEHNER MD

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	207P00000X	Emergency Medicine Physician	MD070450L	PA
2	207P00000X	Emergency Medicine Physician	D0076506	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215905450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ROBERT WEHNER MD

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	49-685-7008
Fax Number	:	804-217-7991

Provider Business Practice Location Address
First Line	:	9000 WOODYARD RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4206
Country	:	US
Telephone Number	:	240-546-3428
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	11/19/2019

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