Most Relevant Information
Provider Data
| NPI Number: | 1003201898 |
| Provider Name: | ADAM WENZEL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2015 |
| Last Updated: | 10/22/2018 |
Provider Practice Location
101 W 2ND ST
DULUTH
MN
55802
Practice Location Phone/Fax
| Phone: | 2187243122 |
| Fax: |
Provider Mailing Location
620 N 23RD AVE W
DULUTH
MN
558061524
Provider Mailing Phone/Fax
| Phone: | 3203368677 |
| Fax: |