Individual
MR. WILLIAM PAUL WONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
141 W ELM ST, SEDGWICK COUNTY DETENTION FACILITY, WICHITA, KS 67203-3848
(316) 383-7685
Mailing address
216 W WATERFORD CT, ANDOVER, KS 67002-8813
(316) 733-8445
(316) 733-8445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500756
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500756
STATE LICENSE
KS
Enumeration date
06/13/2007
Last updated
07/08/2007
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