Individual
DR. LUCAS JOHN WENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-7677
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-7677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
64083
WI
Other
Enumeration date
04/16/2012
Last updated
04/02/2021
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