TOM WENZEL

BOISE, ID
NPI1023636180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WG0100X Registered Nurse, Gastroenterology
(Licence: ID  N-21615)
Enumeration Date2020-07-06
Last Update Date2020-07-06
Business Address
TOM WENZEL
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1092
Mailing Address
TOM WENZEL
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1092
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