Individual
DR. WENDELL RHETT BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 GRAND AVE, DULUTH, MN 55807
(218) 786-3500
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38966
MN
207Q00000X
Family Medicine Physician
Primary
38966
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380838600
—
MN
Enumeration date
07/05/2006
Last updated
10/27/2022
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