Individual
CRAIG D WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 524-8164
Mailing address
14695 PARK AVE, CHARLEVOIX, MI 49720-1929
(231) 547-2812
(231) 547-3067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301050053
MI
208600000X
Surgery Physician
Primary
70871
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293873
—
MI
Enumeration date
06/26/2006
Last updated
04/24/2019
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