Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1942394853 |
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| LBN Legal business name | BRENT R. WENDEL, DPM, INC, P.S. | ||||||||||||
| Authorized official | BRENT WENDEL - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/03/2006 | ||||||||||||
| Last updated | 09/19/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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