Organization
BENJAMIN A. WENDELL, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN A WENDELL MD (MEMBER)
(812) 232-3664
Entity
Organization
Contact information
Practice address
RR 1 BOX 1000, LINTON, IN 47441-9482
(812) 847-2281
Mailing address
2901 OHIO BLVD, SUITE 127, TERRE HAUTE, IN 47803-2239
(812) 234-8261
(812) 234-8262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01037092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124880
—
IN
Enumeration date
09/20/2006
Last updated
06/14/2010
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