Individual
REBECCA WENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N10914 SUGAR BUSH RD, BIRNAMWOOD, WI 54414-8622
(715) 527-8455
Mailing address
N10914 SUGAR BUSH RD, BIRNAMWOOD, WI 54414-8622
(715) 527-8455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127333-30
WI
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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