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1235128083
MARK LYNWOOD WANTZ
SUMMERSVILLE, WV
NPI
1235128083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 15521)
Enumeration Date
2005-10-14
Last Update Date
2022-04-21
Business Address
MARK LYNWOOD WANTZ MD
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651-1085
Phone number: 304-872-5090
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Mailing Address
MARK LYNWOOD WANTZ MD
PO BOX 1029
SUMMERSVILLE, WV 26651-0139
Phone number: 304-872-5090
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