Individual
MR. DAVID L WONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 VALLEY WEST DR, SUITE 100, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368
Mailing address
105 VALLEY WEST DR, SUITE 100, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001548
IA
363AS0400X
Surgical Physician Assistant
001548
IA
Other
Enumeration date
12/23/2005
Last updated
05/11/2015
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