Individual
DR. DONALD E WONDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 NW STEWART PKWY, SUITE 240, ROSEBURG, OR 97471-1516
(541) 677-4427
(541) 677-6522
Mailing address
PO BOX 568, WINCHESTER, OR 97495-0568
(541) 677-4427
(541) 677-6522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD22082
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134096
—
OR
Enumeration date
06/13/2006
Last updated
02/23/2010
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