Provider Demographics
NPI:1730223462
Name:WENDELSCHAEFER, JOHN FRANKLIN JR
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANKLIN
Last Name:WENDELSCHAEFER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25517
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99802-5517
Mailing Address - Country:US
Mailing Address - Phone:907-463-2140
Mailing Address - Fax:907-463-2150
Practice Address - Street 1:709 W 9TH ST
Practice Address - Street 2:SUITE 627
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1807
Practice Address - Country:US
Practice Address - Phone:907-463-2140
Practice Address - Fax:907-463-2150
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman