Individual
DR. FREDERICK CARL WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NORTH DAVIS HWY, MEDICAL CENTER CLINIC/RADIOLOGY DEP, PENSACOLA, FL 32514
(850) 474-8688
(850) 969-2910
Mailing address
PO BOX 21626, ST PETERSBURG, FL 33742-1626
(832) 723-6714
(850) 969-2910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME82869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264142900
—
FL
Enumeration date
06/19/2006
Last updated
11/10/2010
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