DR. Michael W. Wentworth

NPI #1376521963 in Patuxent River, Maryland

Provider Information

NPI Number: 1376521963
Entity Type: Individual
Name: DR. Michael W. Wentworth
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Enumeration Date: Jan 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 47149 BUSE RD
Address 2: BLDG 1370
City: Patuxent River
State: Maryland
ZIP Code: 20670-1540
Phone: (301) 342-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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