Individual
JOHN DUANE WUCHENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 SUMMIT AVENUE, REDLANDS, CA 92373
(909) 792-3545
Mailing address
451 SUMMIT AVENUE, REDLANDS, CA 92373
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G37617
CA
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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