Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1994 | SD |
NPI | 1053849026 |
---|---|
Provider Name | Kristen Sue Wendte |
First Address | Britton, SD 57430-0294 |
Second Address | Sisseton, SD 57262-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2017 |
Last Update Date | 02/06/2017 |