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Dr. Donald Kenneth Wantuck, MD
Specialist in Springfield, Missouri
NPI 1841480316

Donald Kenneth Wantuck is a Specialist based in Springfield, MO. Donald Kenneth Wantuck practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Donald Kenneth Wantuck is 1841480316 and holds a License No. 29710 (Missouri).

The current practice location address for Donald Kenneth Wantuck is 1540 E Evergreen St, Springfield, MO and can be reached out via phone at 417-886-2747 and via fax at 417-886-2774.

Location: 1540 E Evergreen St, Springfield, MO, 65803-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841480316
Provider Name
Donald Kenneth Wantuck
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1540 E Evergreen St, Springfield, MO, 65803-4300
Phone Number
417-886-2747
Fax Number
417-886-2774
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841480316 05 MO
institution
Provider Business Practice Location Address Details
Address
1540 E Evergreen St
City
Springfield
State
Missouri
Zip
65803-4300
Phone Number
417-886-2747
Fax Number
417-886-2774
person
Provider Business Mailing Address Details
Address
1540 E Evergreen St
City
Springfield
State
Missouri
Zip
65803-4300
Phone Number
417-886-2747
Fax Number
417-886-2774
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
29710 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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