Provider Demographics
NPI:1073571378
Name:WENDELL, MARIN KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIN
Middle Name:KAY
Last Name:WENDELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MARIN
Other - Middle Name:KAY
Other - Last Name:LAMETTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-3614
Mailing Address - Country:US
Mailing Address - Phone:775-777-3033
Mailing Address - Fax:775-777-3045
Practice Address - Street 1:1601 E DANA DR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2023
Practice Address - Country:US
Practice Address - Phone:605-274-0777
Practice Address - Fax:605-274-0778
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor