Provider Demographics
NPI:1124264528
Name:SLINKARD, WENDY MARLENE (DC)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:MARLENE
Last Name:SLINKARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:MARLENE
Other - Last Name:PINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:26421 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4528
Mailing Address - Country:US
Mailing Address - Phone:248-905-5066
Mailing Address - Fax:248-905-5069
Practice Address - Street 1:36016 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1918
Practice Address - Country:US
Practice Address - Phone:734-591-0404
Practice Address - Fax:734-591-1534
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301229830111N00000X, 111N00000X
WI4511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1124264528Medicaid