MATTHEW PAUL WONNACOTT

SOUTH LAKE TAHOE, CA
NPI1144214495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A64012)
Enumeration Date2005-09-01
Last Update Date2022-07-21
Business Address
Dr. MATTHEW PAUL WONNACOTT MD
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7025
Phone number: 530-543-5623
Mailing Address
Dr. MATTHEW PAUL WONNACOTT MD
1111 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-543-5659