Provider Demographics
NPI:1033956842
Name:AUDIGER, WENDEL (MD)
Entity type:Individual
Prefix:
First Name:WENDEL
Middle Name:
Last Name:AUDIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CORY LN
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2574
Mailing Address - Country:US
Mailing Address - Phone:954-636-0345
Mailing Address - Fax:
Practice Address - Street 1:112 CORY LN
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2574
Practice Address - Country:US
Practice Address - Phone:954-636-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker