Doctor Name: | MELISSA LEIGH WENDT |
NPI Number: | 1467617274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CTRS |
License Number: | 51902 |
Business Practice Address: | 1 Veterans Drive R-135 Minneapolis, MN - 55417 |
Business Phone Number: | 6124671536 |
Business Fax Number: | 6127275674 |
Mailing Address: | 1 Veterans Drive, R-135 MINNEAPOLIS |
State: | MN |
Postal Code: | 55417 |
Phone Number: | 6124671536 |
Fax Number: | 6127275674 |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 51902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |