Individual
MR. WILLIAM HENRY WENDT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
2800 BLUE RIDGE RD, SUITE 400, RALEIGH, NC 27607-6478
(919) 787-5380
(919) 784-5605
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5007651
NC
Other
Enumeration date
06/07/2015
Last updated
06/07/2015
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