Mortimore, Wendy R

Mortimore, Wendy R is an individual health care provider with primary practice located at 3102 Meriter Way , Madison WI 53719-5833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mortimore, Wendy R can be contacted via phone (608) 417-8800.

Contact Information

Primary practice address
3102 Meriter Way Madison WI 53719-5833
Phone: (608) 417-8800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47897 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47897 Wisconsin

Profile Details

NPI number 1841242674
LBN Legal business name Mortimore, Wendy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841242674 NPPES
Other 039906262E HUMANA
MEDICAID 34637600 HUMANA

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