MEDICARE: DR. DANIEL MARK WENZELL M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD22974	OR
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	MEDS6340	AK

General Provider Information

NPI Number	:	1487624508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL MARK WENZELL M.D.

Provider Business Mailing Address
First Line	:	EVANS ARMY COMMUNITY HOSPITAL
Second Line	:	1650 COCHRANE CIRCLE
City	:	FT. CARSON
State	:	CO
Zip	:	80913
Country	:	US
Telephone Number	:	719-524-7627
Fax Number	:

Provider Business Practice Location Address
First Line	:	EVANS ACH
Second Line	:	1650 COCHRANE CIRCLE
City	:	FT. CARSON
State	:	CO
Zip	:	80913-0001
Country	:	US
Telephone Number	:	719-524-7627
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	11/02/2023

Similar Medicare Providers

1295898542 — DR. CHAD ALLEN HALEY MD
Practice Location Address:

1650 COCHRANE CIRCLE , EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO
80913-0001

Practice Phone: 719-526-7176
Practice Fax:

1093322299 — JESSICA LAUGHTON PSYD
Practice Location Address:

1848 BARKELEY AVE , BLDG 1657
FORT CARSON, CO
80913-0001

Practice Phone: 719-526-3547
Practice Fax:

1265530406 — TIMOTHY PATRICK MCGUIRE ATC
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-3876
Practice Fax:

1336249978 — MR. ETHAN M KREISWIRTH MA, ATC
Practice Location Address:

CAL STATE DOMINGUEZ HLS , 1000 E. VICTORIA ST.
CARSON, CA
90747-0001

Practice Phone: 310-243-3894
Practice Fax:

1710051438 — LAUREN OUTLAND
Practice Location Address:

1000 E VICTORIA ST , SCHOOL OF NURSING
CARSON, CA
90747-0001

Practice Phone: 310-222-3714
Practice Fax:

1457483083 — CSU DOMINGUEZ HILLS PHARMACY
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-3194
Practice Fax: 310-243-6990

Directions to “ DR. DANIEL MARK WENZELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.