WENDELL MARK STREET

VICTORVILLE, CA
NPI1437240314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: CA  A43837)
Enumeration Date2006-09-27
Last Update Date2013-07-26
Business Address
-- WENDELL MARK STREET M.D.
14075 HESPERIA RD SUITE 205
VICTORVILLE, CA 92395-4500
Phone number: 760-596-3708
Mailing Address
-- WENDELL MARK STREET M.D.
109 E 11TH ST
CORONA, CA 92879-2157
Phone number: 951-273-1000