Individual
DIANE L WENDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716
(608) 417-3000
(608) 417-3100
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28643-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31503800
—
WI
Enumeration date
07/26/2006
Last updated
05/16/2018
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