Provider Demographics
NPI:1396830386
Name:WENDER, STEPHEN SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SAMUEL
Last Name:WENDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21000 NE 28TH AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1421
Mailing Address - Country:US
Mailing Address - Phone:305-937-1999
Mailing Address - Fax:305-931-9741
Practice Address - Street 1:21000 NE 28TH AVE
Practice Address - Street 2:STE 104
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1421
Practice Address - Country:US
Practice Address - Phone:305-937-1999
Practice Address - Fax:305-931-9741
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2015-04-13
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Provider Licenses
StateLicense IDTaxonomies
FL0038534207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine