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Individual

DANIEL J WENDORFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3055 COLUMBUS ST, GROVE CITY, OH 43123-2751
(614) 875-9900
(614) 875-4033
Mailing address
3055 COLUMBUS ST, GROVE CITY, OH 43123-2751
(614) 875-9900
(614) 875-4033

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OH052244
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0664517
OH
Enumeration date
04/01/2006
Last updated
12/08/2009
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