Provider Demographics
NPI:1598835852
Name:GRENIER, WENDYLYNNE WEINBECK (DC)
Entity Type:Individual
Prefix:MRS
First Name:WENDYLYNNE
Middle Name:WEINBECK
Last Name:GRENIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:WENDYLYNNE
Other - Middle Name:
Other - Last Name:WEINBECK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 954
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01853-0954
Mailing Address - Country:US
Mailing Address - Phone:978-337-3962
Mailing Address - Fax:
Practice Address - Street 1:7 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3100
Practice Address - Country:US
Practice Address - Phone:978-692-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWEY45680Medicare ID - Type Unspecified