DR. KURT MAURITZ WENDELYN


Address: 54888 Chinquapin Dr, Springville, CA 93265-9557
Phone: 5595422844

DR. KURT MAURITZ WENDELYN (NPI# 1932437639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932437639
Entity Type Individual
Full Name DR. KURT MAURITZ WENDELYN
Credential M.D.
Practice Address 54888 Chinquapin Dr
Springville
CA 93265-9557
Practice Telephone 5595422844
Mailing Telephone 5595422844
Enumeration Date 2009-11-18
Last Update Date 2009-11-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice GFE27153 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 54888 CHINQUAPIN DR
City SPRINGVILLE
State CA
Zip Code 93265-9557

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SPRINGVILLE
Zip Code 93265

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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