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NPI Code Detail

MEDICARE: DR. HEIDI KRISTEN WENNEMER D.O.

MEDICARE:  DR. HEIDI KRISTEN WENNEMER  D.O.
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
1208100000XPhysical Medicine & Rehabilitation Physician219658MA

General Provider Information

NPI Number : 1982662037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI KRISTEN WENNEMER D.O.
Provider Business Mailing Address
First Line : 311 SERVICE RD
Second Line :
City : EAST SANDWICH
State : MA
Zip : 02537-1370
Country : US
Telephone Number : 508-833-4221
Fax Number : 508-833-4212
Provider Business Practice Location Address
First Line : 311 SERVICE RD
Second Line :
City : EAST SANDWICH
State : MA
Zip : 02537-1370
Country : US
Telephone Number : 508-833-4221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 12/22/2021

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Directions to “ DR. HEIDI KRISTEN WENNEMER D.O.” Practice Location

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