Dr. Peter Bradley Wenn, MD
Internal Medicine, Interventional Cardiology in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1073019337
StatusActive
Last updated in NPPESApr 30, 2026
Details
- NPI
- 1073019337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Bradley Wenn
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2018
- Certification date
- Apr 30, 2026
- Last updated
- Apr 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 4301514298 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207R00000X | Internal Medicine | 4301514298 | MI |
Practice location
1000 E Paris Ave Se Ste 200Grand Rapids, MI 49546-8383
Phone 616-685-3450
Mailing address
Po Box 776974Chicago, IL 60677-6974
Phone 800-494-5797
Other practice locations
2201 Hempstead Tpke
East Meadow, NY 11554-1859
East Meadow, NY 11554-1859
Phone 516-572-0123
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