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Individual

DR. JOHN C WENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4000
Mailing address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6N16
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208958702
MO
Enumeration date
04/26/2006
Last updated
10/14/2021
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