Individual
JOHN S WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34503 9TH AVE S, SUITE 230, FEDERAL WAY, WA 98003-8726
(253) 838-3103
(253) 838-7134
Mailing address
34503 9TH AVE S, SUITE 230, FEDERAL WAY, WA 98003-8726
(253) 838-3103
(253) 838-7134
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220092
STATE L&I
WA
05
—
1046119
—
WA
Enumeration date
08/24/2006
Last updated
05/05/2011
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