Individual
MARY E WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2499
(574) 523-3296
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083252
IN
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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