Molaska, Wendy L
Molaska, Wendy L is an sole proprietor health care provider with primary practice located at 2990 Triverton Pike Dr # 101 , Fitchburg WI 53711-5904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Molaska, Wendy L can be contacted via phone (608) 305-4515.Contact Information
Primary practice address
2990 Triverton Pike Dr # 101
Fitchburg WI 53711-5904
Phone: (608) 305-4515
Fax: (608) 721-6006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42881 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51915-20 | Wisconsin |
Profile Details
| NPI number | 1336125939 |
|---|---|
| LBN Legal business name | Molaska, Wendy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jan 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336125939 | NPPES |
| Wisconsin | MEDICAID | 34288500 | |
| Wisconsin | Other | 60752 | |
| Wisconsin | MEDICAID | 52103234 |
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