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NPI Code Detail

MEDICARE: WENDY MICHELE PAGE AU.D., CCC-A

MEDICARE: WENDY MICHELE PAGE AU.D., CCC-A
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
1231H00000XAudiologistA00702OH
2231H00000XAudiologist1601000049MI
3237600000XAudiologist-Hearing Aid Fitter1673OH
4231H00000XAudiologistA.00702OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13407897499220OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000125374OTHERANTHEM

General Provider Information

NPI Number : 1962500488
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MICHELE PAGE AU.D., CCC-A
Provider Business Mailing Address
First Line : 741 SCHOLL RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-1571
Country : US
Telephone Number : 419-756-1133
Fax Number : 419-756-6544
Provider Business Practice Location Address
First Line : 270 STERKEL BLVD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-1508
Country : US
Telephone Number : 419-756-1133
Fax Number : 419-756-6544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 10/17/2018

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