Individual
MARCIA LYNN WENDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5105 W MAIN ST, BELLEVILLE, IL 62226-4728
(618) 233-0798
(618) 233-5647
Mailing address
7 BEAVER CREEK CT, SAINT CHARLES, MO 63303-5497
(618) 233-0798
(618) 233-0964
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036062393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062393
—
IL
Enumeration date
11/10/2005
Last updated
04/15/2013
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