Wendling, Mark R

Wendling, Mark R is an individual health care provider with primary practice located at 6609 W Greenfield Ave , West Allis WI 53214-4958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wendling, Mark R can be contacted via phone (414) 257-8500.

Contact Information

Primary practice address
6609 W Greenfield Ave West Allis WI 53214-4958
Phone: (414) 257-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 65729 Wisconsin

Profile Details

NPI number 1215164314
LBN Legal business name Wendling, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Nov 23rd, 2021 - about 5 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 1215164314 NPPES
Wisconsin MEDICAID 1215164314
Wisconsin MEDICAID 1215164314

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