Individual provider · Type 1 NPI
Leonard Trent Wonnenberg, PAC
Surgical Physician Assistant · Huron, SD
NPI number
1609147461
Active
Practice location
172 4th St SE
Huron, SD 57350-2510
Fax (605) 353-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 0803 (SD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1609147461
Leonard Trent Wonnenberg, PAC's National Provider Identifier is 1609147461, issued on Jan 25, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Huron, SD. The record was last updated on Jan 8, 2025.