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Contact Information

ELLEN T WENBERG, MD
710 RIVERSIDE DR
WAUPACA, WI54981-1941
 Phone: 715-258-1160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELLEN T WENBERG · (Female)

NPI # 1235349077
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 03/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 47144
  • WI License # 50762-020
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Critical Access)
    800 RIVERSIDE DRIVE
    WAUPACA, WI 54981
  • SHAWANO MED CTR - (Critical Access)
    309 N BARTLETTE ST
    SHAWANO, WI 54166
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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