Individual
AMANDA WONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 DAKOTA AVE S, HURON, SD 57350-4022
(605) 352-9498
Mailing address
1880 FRANK AVE SE, HURON, SD 57350-4235
(605) 691-3849
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0315
SD
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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