DR. John Emil Wennergren, M.D.

NPI #1053545434 in Provo, Utah

Provider Information

NPI Number: 1053545434
Entity Type: Individual
Name: DR. John Emil Wennergren, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: May 13, 2009
Last Updated: Oct 1, 2021

Practice Location

Address: 3550 N UNIVERSITY AVE STE 250
City: Provo
State: Utah
ZIP Code: 84604-6695
Phone: (801) 374-9625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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