Provider Demographics
NPI:1285613984
Name:WENDSCHUH, PETER H (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:H
Last Name:WENDSCHUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7330 SW 62ND PLACE
Mailing Address - Street 2:S. 300
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-666-6731
Mailing Address - Fax:305-667-7542
Practice Address - Street 1:7330 SW 62ND PLACE
Practice Address - Street 2:S. 300.
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-666-6731
Practice Address - Fax:305-667-7542
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL35680207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35680OtherSTATE LISCENSE NUMBER
FLE14717Medicare UPIN
FL95907Medicare ID - Type Unspecified