Organization
STEVEN R WUNSCHEL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R WUNSCHEL (PRESIDENT)
(209) 529-9603
Entity
Organization
Contact information
Practice address
1401 SPANOS COURT, 111, MODESTO, CA 95355
(209) 525-3181
(209) 526-4961
Mailing address
817 COFFEE ROAD, C3, MODESTO, CA 95355
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A53236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A532360
—
CA
Enumeration date
10/19/2006
Last updated
08/22/2020
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