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MARK A WENGER M. D.

Allergy and Immunology

Fredericksburg, Virginia

Provider NPI: 1336139666

Provider Information:
 MARK A WENGER M. D.


Practice Location:
511 PARK HILL DR  FREDERICKSBURG, VA 22401 US
Tel: 540-371-5660  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VA0101059064

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN006254A38VA01
VA PREMIER10115116VA01
SOUTHERN HEALTH255384VA01
010115116VA05
CIGNA561249571VA01
SENTARA91572VA01
UNITED HEALTHCARE02-00461VA01
ALLIANCE/MAMSI3129595VA01
AETNA3789353VA01
VA HEALTH NETWORK561249571VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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