Wenneker, Wendell Warren

Wenneker, Wendell Warren is an individual health care provider with primary practice located at 3443 Villa Ln Suite 3, Napa CA 94558-6417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wenneker, Wendell Warren can be contacted via phone (707) 226-2031.

Contact Information

Primary practice address
3443 Villa Ln Suite 3 Napa CA 94558-6417
Phone: (707) 226-2031
Fax: (707) 252-1087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G37197 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G37197 California

Profile Details

NPI number 1669480232
LBN Legal business name Wenneker, Wendell Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 16th, 2009 - about 17 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 1669480232 NPPES
California Other 00G371970 BLUE SHIELD
California MEDICAID 00G371970 BLUE SHIELD

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