Individual
DR. JACOB WILLIAM WENDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 CHANNING WAY STE 205, IDAHO FALLS, ID 83404-7546
(208) 535-4580
(208) 535-4520
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0-1292
ID
Other
Enumeration date
06/27/2011
Last updated
08/29/2024
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