Individual
DANIEL WENDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37630
KY
207NS0135X
Procedural Dermatology Physician
37630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2443573000
PASSPORT ADVANTAGE
KY
01
—
50002034
PASSPORT
KY
05
—
64060932-00
—
KY
Enumeration date
10/11/2006
Last updated
06/09/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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