| Doctor Name: | DR. CHARLES ANTHONY WENZEL |
| NPI Number: | 1265843726 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 55576 |
| Business Practice Address: | 14111 E Alameda Ave Ste 200 Aurora, CO - 800122509 |
| Business Phone Number: | 3033431357 |
| Business Fax Number: | |
| Mailing Address: | 14111 E Alameda Ave Ste 200, AURORA |
| State: | CO |
| Postal Code: | 800122509 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2014 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 55576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |