Individual
DR. THOMAS D WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 S CANDY LN STE 13AB, COTTONWOOD, AZ 86326-4120
(928) 649-1389
(928) 634-5314
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G86425
CA
207R00000X
Internal Medicine Physician
G86425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G864250
—
CA
Enumeration date
07/03/2006
Last updated
01/09/2024
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