Provider Demographics
NPI:1568562486
Name:PAGE -ECHOLS, WENDY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ELIZABETH
Last Name:PAGE -ECHOLS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2025 ABBOTT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8573
Mailing Address - Country:US
Mailing Address - Phone:517-333-3550
Mailing Address - Fax:517-333-8774
Practice Address - Street 1:2025 ABBOTT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8573
Practice Address - Country:US
Practice Address - Phone:517-333-3550
Practice Address - Fax:517-333-8774
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIWP009420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4151522Medicaid
MIM91580003Medicare ID - Type Unspecified
MIF42325Medicare UPIN