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Individual
ANN T WENDECKER
Active
Individual
ANN T WENDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
02001403A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343710
—
IN
Enumeration date
06/18/2006
Last updated
12/17/2021
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