Individual
DONALD WALTER WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
304 W HAY ST, STE 111, DECATUR, IL 62526-6328
(217) 875-8100
(217) 872-5486
Mailing address
304 W HAY ST, STE 111, DECATUR, IL 62526-6328
(217) 875-8100
(217) 872-5486
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003029
IL
Other
Enumeration date
09/07/2007
Last updated
09/04/2013
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