Individual
STEPHEN WENDOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4030
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LP05601
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP05601
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
RI
Other
Enumeration date
06/13/2022
Last updated
07/03/2023
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