Provider Demographics
NPI:1083039523
Name:DUKES, WENDY MARIE
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MARIE
Last Name:DUKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8351 N WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:MI
Mailing Address - Zip Code:48662-9747
Mailing Address - Country:US
Mailing Address - Phone:989-481-3017
Mailing Address - Fax:989-481-3086
Practice Address - Street 1:8351 N WHEELER RD
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:MI
Practice Address - Zip Code:48662-9747
Practice Address - Country:US
Practice Address - Phone:989-481-3017
Practice Address - Fax:989-481-3086
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor