Individual
DAVID L. WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1005 PENNSYLVANIA AVE, STE 202, OTTUMWA, IA 52501-6413
(641) 684-8448
(641) 684-4055
Mailing address
1005 PENNSYLVANIA AVE, STE 202, OTTUMWA, IA 52501-6413
(641) 684-8448
(641) 684-4055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000801
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
T00801
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249003
—
IA
Enumeration date
06/20/2007
Last updated
09/07/2023
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