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NPI Code Detail

MEDICARE: MS. WENDY GEUDER LMP

MEDICARE: MS. WENDY GEUDER LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMA00022241WA

General Provider Information

NPI Number : 1356576011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY GEUDER LMP
Provider Business Mailing Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number :
Provider Business Practice Location Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2009
Last Update Date : 05/26/2009

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Directions to “ MS. WENDY GEUDER LMP” Practice Location

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