Healthcare Provider Details

I. General information

NPI: 1447471669
Provider Name (Legal Business Name): WENDY W. WEBSTER DPM,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29556 SOUTHFIELD RD STE 125
SOUTHFIELD MI
48076-2021
US

IV. Provider business mailing address

29556 SOUTHFIELD RD STE 125
SOUTHFIELD MI
48076-2021
US

V. Phone/Fax

Practice location:
  • Phone: 248-864-8845
  • Fax: 248-864-8895
Mailing address:
  • Phone: 248-864-8845
  • Fax: 248-864-8895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: WENDY WRUNAKA WEBSTER
Title or Position: OWNER
Credential:
Phone: 248-864-8845