Search › Arizona › 1223D0004X

Christopher Wennerholm

NPI 1083364293 · on the registry since 2022 · sole proprietor

Practice

Address
2308 E Bonita St
Gilbert, AZ 85296
Phone
(480) 204-9392

Registry record

Primary taxonomy
1223D0004X
1223D0004X
Also registered as
390200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-23

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 Arizona