Individual
MARION G WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7751 BYRON CENTER AVE SW, SUITE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
(616) 356-1941
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704223755
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704223755
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4780026
—
MI
05
—
4780035
—
MI
05
—
4780044
—
MI
05
—
4780053
—
MI
05
—
4780062
—
MI
05
—
4780071
—
MI
01
—
5008705490
BCBSM
MI
Enumeration date
02/15/2006
Last updated
01/24/2025
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