Provider Demographics
NPI:1083691596
Name:FLUEGEL, WENDY L (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:L
Last Name:FLUEGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 PINE CIR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4467
Mailing Address - Country:US
Mailing Address - Phone:515-240-9342
Mailing Address - Fax:
Practice Address - Street 1:3112 PINE CIR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-4467
Practice Address - Country:US
Practice Address - Phone:515-240-9342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA32540207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA71706OtherCOVENTRY
IA35411OtherMIDLAND'S CHOICE
IAIA0135OtherUHC OF THE RIVER VALLEY
IA1279251OtherUNITED HEALTHCARE
IA0175885Medicaid
IA46065OtherWELLMARK
IA71706OtherCOVENTRY
IA46065OtherWELLMARK