Individual
JOHN MACLEAN WENDELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601
(757) 594-4405
(757) 594-3547
Mailing address
PO BOX 12087, NEWPORT NEWS, VA 23612
(757) 867-6101
(757) 867-6587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101024796
VA
2085R0202X
Diagnostic Radiology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7260865
—
VA
Enumeration date
08/18/2006
Last updated
07/08/2007
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