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CRAIG D WENDT M.D. NPI 1174550206


NPI Information

NPI: 1174550206
Provider Name: CRAIG D WENDT, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166
Phone: (715) 524-2161
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Craig D Wendt, M.D. is a surgery in Shawano, WI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Craig D Wendt, M.D. NPI is 1174550206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166-072
Phone: (715) 524-2161
Fax: (715) 524-8164

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301050053MICHIGANNo
2208600000XSurgery70871WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13293873MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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