Individual
DR. BRENT ROBERT WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
900 NW MT WASHINGTON DR STE 205, BEND, OR 97703-6719
(541) 246-3577
Mailing address
2221 NW HIGH LAKES LOOP, BEND, OR 97703-6973
(206) 250-4320
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
DP214271
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101063
LABOR AND INDUSTRY
WA
05
—
1106616
—
WA
Enumeration date
10/26/2006
Last updated
09/25/2024
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