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Individual

LYLE R WENDLING

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 W 5TH AVE, SUITE 205, SPOKANE, WA 99204-2823
(509) 747-1187
(509) 747-1180
Mailing address
801 W 5TH AVE, SUITE 205, SPOKANE, WA 99204-2823
(509) 747-1187
(509) 747-1180

Taxonomy

Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
MD00014384
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0160231
WA LABOR & INDUSTRIES
WA
05
8242604
WA
Enumeration date
05/04/2006
Last updated
07/08/2007
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