Individual
ELLEN WENDLANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
557 DRURY PL, FOND DU LAC, WI 54935-4721
(920) 979-1987
Mailing address
PO BOX 104, BROWNSVILLE, WI 53006-0104
(920) 970-6655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321214
WI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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