Individual
JEREMY ADAM WENDTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 S BARSTOW ST, EAU CLAIRE, WI 54701-3678
(715) 379-9701
Mailing address
306 S BARSTOW ST, EAU CLAIRE, WI 54701-3678
(715) 379-9701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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