Individual
DAVID H WUELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1712 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 827-2526
(660) 827-5536
Mailing address
1712 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 827-2526
(660) 827-5536
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R8C78
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201843703
—
MO
Enumeration date
09/19/2005
Last updated
09/06/2007
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