Individual
PATRICIA C WANKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-6544
(573) 884-2256
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2003020149
MO
Other
Enumeration date
05/22/2006
Last updated
04/19/2019
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