Individual
DR. MARK D WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Mailing address
401 S HIGHLAND AVE, CHANUTE, KS 66720-2409
(620) 431-1938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0526245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2456456301
—
KS
Enumeration date
10/10/2006
Last updated
04/06/2022
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