Individual
DR. WENDY L MOLASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2990 TRIVERTON PIKE DR # 101, FITCHBURG, WI 53711-5904
(608) 305-4515
(608) 721-6006
Mailing address
3034 BOSSHARD DR, FITCHBURG, WI 53711-5858
(612) 770-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42881
CO
207Q00000X
Family Medicine Physician
Primary
51915-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34288500
—
WI
05
—
52103234
—
CO
01
—
60752
DEAN HEALTH INSURANCE
WI
Enumeration date
12/16/2005
Last updated
01/18/2022
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