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NPI Code Detail

MEDICARE: WENDY FRONTERHOUSE MD

MEDICARE: WENDY FRONTERHOUSE MD
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
1173000000XLegal Medicine20030027NM
2208000000XPediatrics Physician2003-0027NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558320770
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY FRONTERHOUSE MD
Provider Business Mailing Address
First Line : 6100 PAN AMERICAN FWY NE
Second Line : 100
City : ALBUQUERQUE
State : NM
Zip : 87109-3427
Country : US
Telephone Number : 505-727-6200
Fax Number : 505-727-9590
Provider Business Practice Location Address
First Line : 6100 PAN AMERICAN FWY NE
Second Line : 100
City : ALBUQUERQUE
State : NM
Zip : 87109-3427
Country : US
Telephone Number : 505-727-6200
Fax Number : 505-727-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 02/05/2016

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Directions to “ WENDY FRONTERHOUSE MD” Practice Location

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