Individual
MRS. LYNDELL MARIE WEDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1330 N SUPERIOR AVE, TOMAH, WI 54660-1130
(608) 372-4111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1309
AK
367A00000X
Advanced Practice Midwife
Primary
148922
WI
367A00000X
Advanced Practice Midwife
231272
WI
367A00000X
Advanced Practice Midwife
7267
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579469
—
AK
Enumeration date
05/02/2007
Last updated
01/26/2018
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