Individual
MRS. CAROL ANN WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
970 E WASHINGTON ST, 203, MEDINA, OH 44256-3332
(330) 723-7246
(330) 725-7855
Mailing address
970 E WASHINGTON ST, 203, MEDINA, OH 44256-3332
(330) 723-7246
(330) 725-7855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.005924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.005924
STATE LICENSE
OH
Enumeration date
09/23/2008
Last updated
09/23/2008
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