Basic Information
| Provider Information | |||||||||
| NPI: | 1336318732 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DWIGANS | ||||||||
| FirstName: | WENDY | ||||||||
| MiddleName: | K. F. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S., CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9000 WEST WISCONSIN AVENUE | ||||||||
| Address2: | P.O. BOX 1997, B-340 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532011997 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4142662934 | ||||||||
| FaxNumber: | 4142666189 | ||||||||
| Practice Location | |||||||||
| Address1: | 4855 S MOORLAND RD | ||||||||
| Address2: | SUITE 300 - AUDIOLOGY | ||||||||
| City: | NEW BERLIN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531517401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2624327703 | ||||||||
| FaxNumber: | 2624327798 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/29/2008 | ||||||||
| LastUpdateDate: | 04/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 357-156 | WI | Y | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 23002377A | IN | N | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.