LEONARD TRENT WONNENBERG

HURON, SD
NPI1609147461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SD  0803)
Enumeration Date2012-01-25
Last Update Date2025-01-08
Business Address
LEONARD TRENT WONNENBERG PAC
172 4TH ST SE
HURON, SD 57350-2510
Phone number: 605-353-6200
Mailing Address
LEONARD TRENT WONNENBERG PAC
172 4TH ST SE
HURON, SD 57350-2590
Phone number: 605-353-6200
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