Individual
JOHN D WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
271018-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
51985
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107047534101
IHC
UT
01
—
27101812005001
BX
UT
05
—
870284448008
—
UT
01
—
870284448JAW
EMIA
UT
Enumeration date
05/30/2006
Last updated
12/18/2014
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