Corey Wencl, LAT

NPI 1750799482 · on the registry since 2014

Practice

Address: 421 Camelot Dr
Fond Du Lac, WI 54935
Phone: (920) 926-8061
Organisation at this address: Agnesian Healthcare Inc
Agnesian Healthcare Inc
Fond Du Lac Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 78

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin