Theodore M Wandzilak MD
Theodore M Wandzilak MD is a Durable Medical Equipment & Medical Supplies in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.
- Licensed in
- KY
- In the registry since
- 2008
Practice location Address checks out
1348 Poplar Level RdLouisville, KY 40217-1307
Phone: (502) 634-1721
Fax: (502) 637-6396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 22152 (KY) |
|---|
Record details
| NPI number | 1033396171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pam Smith — Manager · (502) 634-1721 |
| NPI enumerated | January 30, 2008 |
| Last updated in NPPES | June 8, 2017 |
| Mailing address | 1348 Poplar Level Rd, Louisville, KY 40217-1307 |
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