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Individual

DR. WENDELL RANCE MIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3084 LAKECREST CIRCLE, SUITE 100, LEXINGTON, KY 40513
(859) 639-1210
(859) 639-1211
Mailing address
3084 LAKECREST CIRCLE, SUITE 100, LEXINGTON, KY 40513
(859) 639-1210
(859) 639-1211

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35330
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000067559
ANTHEM BCBS
KY
01
1177383
CHA
KY
01
460002371
RAILROAD MEDICARE
05
64993579
KY
01
G06037
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
12/14/2006
Last updated
08/02/2024
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