| Doctor Name: | MARGIE WENZ |
| NPI Number: | 1093740045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | OH35058266 |
| Business Practice Address: | 13170 Ravenna Rd Ste 102 Chardon, OH - 440247022 |
| Business Phone Number: | 4402869238 |
| Business Fax Number: | 4402864832 |
| Mailing Address: | Po Box 8792, BELFAST |
| State: | ME |
| Postal Code: | 049158792 |
| Phone Number: | 4402869238 |
| Fax Number: | 4402864832 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | OH35058266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |