Individual
TODD JOSEPH WANNEMUEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST STE 310, EVANSVILLE, IN 47710
(812) 425-2646
(812) 467-7209
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 425-2646
(812) 467-7209
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01080398A
IN
207Y00000X
Otolaryngology Physician
55475
TN
Other
Enumeration date
05/15/2012
Last updated
07/31/2018
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