Individual
DR. DANIEL T WENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5473 VILLAGE COMMON DR, SUITE 201, ERIE, PA 16506-4961
(814) 833-3223
(814) 833-5763
Mailing address
5473 VILLAGE COMMON DR, SUITE 201, ERIE, PA 16506-4961
(814) 833-3223
(814) 833-5763
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS006273L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014058810004
—
PA
01
—
742097
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/21/2006
Last updated
07/08/2007
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