Donald Kenneth Wantuck in Springfield - Specialist
Donald Kenneth Wantuck - NPI 1841480316
Donald Kenneth Wantuck is a Specialist in Springfield, Missouri. Donald Kenneth Wantuck practices all healthcare services and medical treatments related to Specialist. The NPI Number for Donald Kenneth Wantuck is 1841480316. The last update date is 2015-04-06.
Donald Kenneth Wantuck's current location address is 1540 E Evergreen St, Springfield, Missouri. You can contact this provider via phone number 4178862747 and fax number 4178862774. The mailing address for Donald Kenneth Wantuck is 1540 E Evergreen St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Kenneth Wantuck |
|---|---|
| Address | 1540 E Evergreen St, Springfield, Missouri |
| Phone Number | 4178862747 |
| Fax Number | 4178862774 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1841480316 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 1540 E Evergreen St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658034300 |
| Phone Number | 4178862747 |
| Fax Number | 4178862774 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 29710 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1841480316 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Donald Kenneth Wantuck by the Centers for Medicare & Medicaid Services?
The Donald Kenneth Wantuck has been issued the NPI (National Provider Identifier) 1841480316. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Donald Kenneth Wantuck's facilities are geographically located?
The facilities of Donald Kenneth Wantuck are physically situated at the following location: 1540 E Evergreen St, Springfield, MO, 658034300.
What is Donald Kenneth Wantuck's area of expertise and its corresponding taxonomy classification?
The Donald Kenneth Wantuck's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841480316 to Donald Kenneth Wantuck?
The Centers for Medicare & Medicaid Services originally issued the 1841480316 to Donald Kenneth Wantuck on 2007-07-30.
When was the information regarding Donald Kenneth Wantuck, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Donald Kenneth Wantuck, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-06.