Individual
WENDY CAROLE CUDIO STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
418 3RD AVE E, ALEXANDRIA, MN 56308-1573
(320) 762-2311
(320) 762-8942
Mailing address
418 3RD AVE E, ALEXANDRIA, MN 56308-1573
(320) 762-2311
(320) 762-8942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112547
MEDICA
MN
01
—
018L2ST
BCBS
MN
01
—
018LIST
BCBS
MN
01
—
344111014835
PREFERRED ONE
MN
Enumeration date
02/07/2007
Last updated
07/09/2007
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