Organization
MICHAEL O. WENDT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O. WENDT MD (MANAGER/MANAGING MEMBER)
(803) 454-2600
Entity
Organization
Contact information
Practice address
139 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 765-1838
(803) 765-1732
Mailing address
PO BOX 2564, COLUMBIA, SC 29202-2564
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4114
—
SC
Enumeration date
01/26/2006
Last updated
10/04/2007
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