Individual
WENDY J RIEKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 BESTGATE RD STE 400, ANNAPOLIS, MD 21401
(410) 266-2720
Mailing address
1000 BESTGATE RD STE 400, ANNAPOLIS, MD 21401-3371
(410) 266-2720
(410) 224-0209
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C02051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947004200
—
MD
Enumeration date
06/10/2006
Last updated
11/26/2018
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