Individual
MICHAEL WENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3691 WILLOWCREEK ROAD, SUITE 100, PORTAGE, IN 46368
(219) 759-4380
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001452A
IN
Other
Enumeration date
08/13/2007
Last updated
07/21/2008
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