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Individual

MR. WILLIAM RICHARD SUMNER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7400
Mailing address
207 S LOCUST ST, GLENWOOD, IA 51534-1727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113978
NE
363LF0000X
Family Nurse Practitioner
2023042385
MO
363LF0000X
Family Nurse Practitioner
Primary
A166252
IA

Other

Enumeration date
01/25/2021
Last updated
06/24/2025
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