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Individual

MRS. MEGHAN K WENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO04329

Contact information

Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6403
(608) 662-4541
Mailing address
1407 DANBURY BAY, WAUNAKEE, WI 53597-2006

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396242814
WI
Enumeration date
04/11/2018
Last updated
12/07/2022
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