Individual
DR. AIMEE WENDELSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, INTENSIVIST, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-7239
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD2017-0118
NM
207P00000X
Emergency Medicine Physician
2016009494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94189811
—
NM
Enumeration date
03/29/2012
Last updated
01/22/2024
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