SearchMaryland171M00000X

Wendell Mathis

NPI 1639962418 · on the registry since 2025

Practice

Address
15107 Jennings Ln
Bowie, MD 20721
Phone
(202) 489-6011
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland