Individual
MRS. MELISSA J WENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401
(715) 847-2611
(715) 847-2465
Mailing address
500 WIND RIDGE DR, WAUSAU, WI 54401
(715) 847-2611
(715) 847-2465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2458-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41196100
—
WI
Enumeration date
01/06/2006
Last updated
11/29/2007
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