Individual
DR. DONALD KEITH WONDER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 S JEFFERSON ST, NEOSHO, MO 64850-1769
(417) 455-4200
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 455-4200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R1E13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020007605
—
MO
Enumeration date
05/05/2006
Last updated
05/09/2017
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