Individual
BRANDON WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4810 WASHINGTON AVE, RACINE, WI 53406-4220
(262) 635-0181
(262) 635-1865
Mailing address
4810 WASHINGTON AVE, RACINE, WI 53406-4220
(262) 635-0181
(262) 635-1865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13613
MI
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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