Individual
DR. WENDELL DALE RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3126 S JACKSON AVE, STE 200, JOPLIN, MO 64804-2534
(417) 781-1600
(417) 627-8725
Mailing address
3126 S JACKSON AVE, STE 200, JOPLIN, MO 64804-2534
(417) 781-1600
(417) 627-8725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32289
MO
207R00000X
Internal Medicine Physician
R4696
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801902135
—
MO
05
—
200073100A
—
OK
Enumeration date
08/21/2006
Last updated
02/17/2012
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