Individual
CRAIG S HENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 738-4600
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36027
IA
207Q00000X
Family Medicine Physician
Primary
51128
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458570
—
IA
01
—
39019
WELLMARK BCBS OF IA
IA
Enumeration date
02/17/2006
Last updated
03/29/2012
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