LEONARD TRENT WONNENBERG

HURON, SD
NPI1609147461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0803)
Enumeration Date2012-01-25
Last Update Date2012-11-29
Business Address
-- LEONARD TRENT WONNENBERG PAC
1000 18TH ST SW STE 27
HURON, SD 57350-3486
Phone number: 605-554-1015
Mailing Address
-- LEONARD TRENT WONNENBERG PAC
602 1ST ST NE STE 1
WESSINGTON SPRINGS, SD 57382-2163
Phone number: 605-539-9836
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