NPI 1174550206

Craig D Wendt, MD

Practitioner Surgery Physician Shawano, WI

Practice location

Address: 100 County Road B, Shawano, WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Mailing address: 14695 Park Ave, Charlevoix, MI 49720-1929

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 70871 (WI)

Other Surgery providers in Wisconsin →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301050053 (MI)

Registry record

NPI: 1174550206
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 24 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.