Individual
DR. ANTHONY DONALD WENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
840 LAKE AVENUE, SUITE 101, RACINE, WI 53403-1550
(262) 634-8688
(262) 634-7547
Mailing address
426 ASPEN ST, JOHNSON CREEK, WI 53038-9454
(262) 719-0676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5977-27
WI
Other
Enumeration date
05/29/2009
Last updated
11/16/2011
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