Individual
STEVEN R. DONNENWERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 WATSON, SUITE 200, PRATT, KS 67124
(620) 672-7422
(620) 508-6476
Mailing address
PO BOX 308, PRATT, KS 67124
(620) 672-7422
(620) 508-6476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35220
IA
207Q00000X
Family Medicine Physician
Primary
04-32339
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426870A
—
KS
Enumeration date
10/21/2005
Last updated
05/19/2014
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