Provider Demographics
NPI:1336318732
Name:DWIGANS, WENDY K F (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:K F
Last Name:DWIGANS
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Gender:F
Credentials:MS, CCC-A
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Mailing Address - Street 1:9000 WEST WISCONSIN AVENUE
Mailing Address - Street 2:P.O. BOX 1997, B-340
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-1997
Mailing Address - Country:US
Mailing Address - Phone:414-266-2934
Mailing Address - Fax:414-266-6189
Practice Address - Street 1:4855 S MOORLAND RD
Practice Address - Street 2:SUITE 300 - AUDIOLOGY
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-7401
Practice Address - Country:US
Practice Address - Phone:262-432-7703
Practice Address - Fax:262-432-7798
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI357-156231H00000X
IN23002377A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist