Individual
WENDY THOMAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101052989
VA
2085P0229X
Pediatric Radiology Physician
Primary
4301501891
MI
2085R0202X
Diagnostic Radiology Physician
0101052989
VA
2085R0202X
Diagnostic Radiology Physician
40286
TN
2085R0202X
Diagnostic Radiology Physician
4301501891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10110018
OPTIMA HEALTH PLAN
VA
01
—
1053398412
VA PREMIER HEALTH PLAN
VA
05
—
1053398412
—
NC
05
—
1053398412
—
VA
01
—
139178
BCBSVA
VA
01
—
180AF
BCBSNC
NC
01
—
5512875
AETNA HEALTHCARE
VA
01
—
P01206178
RAILROAD MEDICARE
VA
Enumeration date
12/28/2005
Last updated
07/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us