Earl Wenk, LAT ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000888 Issued in MI

Practice address

1958 S Industrial Hwy Ste C
Ann Arbor, MI 48104-4625

Phone

(734) 585-0449

NPI assigned

Dec 27, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1588203293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 LAKE FOREST DR E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089681",
            "telephone_number": "734-730-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 S INDUSTRIAL HWY STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044625",
            "telephone_number": "734-585-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENK",
        "first_name": "EARL",
        "credential": "LAT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Welton
• Kristina Linnea Welton, MD
• Molly K Welty, OD
• Kelsey Ann Wendland, CCC-SLP
• Stephanie Valley Wenglikowski, N.P.
• Rudy Westfall Wenner, MD
• Donald Wennersten, D.D.S.
• Samuel Christian Wensley
• Zachariah Wentlent, MD
• Deborah Ellen Wentz, MSW

• Athletic Trainer in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.