Provider Demographics
NPI:1073134854
Name:WENDROTH, ROBERT HINRICH
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:HINRICH
Last Name:WENDROTH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 BOULEVARD NAPOLEON APT 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2050
Mailing Address - Country:US
Mailing Address - Phone:859-536-5021
Mailing Address - Fax:
Practice Address - Street 1:3130 HIGHLAND AVE FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2399
Practice Address - Country:US
Practice Address - Phone:513-584-7425
Practice Address - Fax:513-584-7681
Is Sole Proprietor?:No
Enumeration Date:2020-05-03
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program