Wedyke, Lyndell Marie
Wedyke, Lyndell Marie is an individual health care provider with primary practice located at 1330 N Superior Ave , Tomah WI 54660-1130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Wedyke, Lyndell Marie can be contacted via phone (608) 372-4111.Contact Information
Primary practice address
1330 N Superior Ave
Tomah WI 54660-1130
Phone: (608) 372-4111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 1309 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 231272 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 7267 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 148922 | Wisconsin |
Profile Details
NPI number | 1174744494 |
---|---|
LBN Legal business name | Wedyke, Lyndell Marie |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Jan 26th, 2018 - about 7 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 | 1174744494 | NPPES |
Alaska | MEDICAID | 1579469 |
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