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Individual

LAURA R WENDZICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(425) 344-7970
Mailing address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(425) 344-7970

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60507205
WA
363AM0700X
Medical Physician Assistant
Primary
PA60507205
WA

Other

Enumeration date
09/24/2014
Last updated
07/23/2020
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