Individual
MARY K. WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 CANAL ST, MILLBURY, MA 01527-3266
(508) 865-9960
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49831
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6172482
—
MA
Enumeration date
04/25/2007
Last updated
06/03/2009
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