Provider Demographics
NPI:1144259938
Name:ONGARO, WENDY MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:ONGARO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:207 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2718
Mailing Address - Country:US
Mailing Address - Phone:307-674-6995
Mailing Address - Fax:
Practice Address - Street 1:207 E 5TH ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3658
Practice Address - Country:US
Practice Address - Phone:307-674-6995
Practice Address - Fax:307-459-5908
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYVAD000Medicare UPIN