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Individual

WENDY MICHELE PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000049
MI
231H00000X
Audiologist
Primary
A.00702
OH
231H00000X
Audiologist
A00702
OH
237600000X
Audiologist-Hearing Aid Fitter
1673
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000125374
ANTHEM
05
0110206
OH
01
3407897499220
ANTHEM
Enumeration date
09/20/2006
Last updated
10/17/2018
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