Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 36.003927 | OH |
NPI | 1417311705 |
---|---|
Provider Name | Dr. Michael Wenowitz |
First Address | Richmond Hts, OH 44143-1116 |
Second Address | Lorain, OH 44053-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2016 |
Last Update Date | 19/05/2019 |