Doctor Name: | ANN T WENDECKER |
NPI Number: | 1528003092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 02001403A |
Business Practice Address: | 1606 N 7th St Terre Haute, IN - 478042706 |
Business Phone Number: | 8122387000 |
Business Fax Number: | |
Mailing Address: | 1606 N 7th St, TERRE HAUTE |
State: | IN |
Postal Code: | 478042706 |
Phone Number: | 8122387000 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 02001403A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |