| NPI | 1457579336 |
|---|---|
| Other Name | DONALD A WENNERSTEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 15708) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901015708) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-08-13 |