Individual
DR. WENDY ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 PINE ST, MICHIGAN CITY, IN 46360-3438
(219) 874-4800
Mailing address
715 PINE ST, MICHIGAN CITY, IN 46360-3438
(219) 874-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009259A
IN
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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