Healthcare Provider Details
I. General information
NPI: 1831183797
Provider Name (Legal Business Name): JAMES SCHOELLES WENDEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 09/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2123 AUBURN AVE STE 724
CINCINNATI OH
45219-2906
US
IV. Provider business mailing address
2123 AUBURN AVE STE 724
CINCINNATI OH
45219-2906
US
V. Phone/Fax
- Phone: 513-241-4774
- Fax: 513-241-1682
- Phone: 513-241-4774
- Fax: 513-241-1682
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 35049212W |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 0420008112 |
| License Number State | VT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: