Individual
DR. WENDY L MCFALDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5701 BOW POINTE DR, SUITE 215, CLARKSTON, MI 48346-3198
(248) 620-3376
(248) 620-3379
Mailing address
5701 BOW POINTE DR, SUITE 215, CLARKSTON, MI 48346-3198
(248) 620-3376
(248) 620-3379
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101014699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756301335
BLUE CROSS BLUE SHIELD
MI
01
—
139701
CARE CHOICES
MI
01
—
16961
MCARE
MI
01
—
7938631
AETNA US HEALTHCARE
MI
01
—
I17827
HAP
MI
01
—
P00252806
MEDICARE RAILROAD
MI
01
—
P14750001
MEDICARE PLUS BLUE
MI
01
—
WM014699
BLUE CARE NETWORK
MI
Enumeration date
10/03/2006
Last updated
03/30/2012
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