Doctor Name: | DR. DALIA J WENCKUS |
NPI Number: | 1992915623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DALIA WENCKUS M.D. |
License Number: | 01063635A |
Business Practice Address: | 4881 Sugar Maple Dr Dept Of Obstetrics And Gynecology Wright Patterson Afb, OH - 454335529 |
Business Phone Number: | 9372571941 |
Business Fax Number: | |
Mailing Address: | 4881 Sugar Maple Dr, Dept Of Obstetrics And Gynecology WRIGHT PATTERSON AFB |
State: | OH |
Postal Code: | 454335529 |
Phone Number: | 9372571941 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 01063635A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |