Individual
WENDI-JO WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301105494
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
73169
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164836052
—
WI
Enumeration date
06/18/2014
Last updated
06/24/2020
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