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Individual

DR. DAVID MATTHEW WENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19234 DETROIT RD, ROCKY RIVER, OH 44116-1706
(440) 356-3640
(440) 356-3729
Mailing address
19234 DETROIT RD, ROCKY RIVER, OH 44116-1706
(440) 356-3640
(440) 356-3729

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35080324
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232253
ANTHEM
OH
01
000000540966
ANTHEM /ROCKY RIVER
OH
01
080189174
RAILROAD MEDICARE
05
2338983
OH
01
C80324
SUMMA
ND
01
P00613207
RAILROAD MEDICARE
OH
01
P00706005
RRCARE
OH
Enumeration date
01/25/2006
Last updated
06/26/2009
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