Organization
STEVEN R WUNSCHEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R WUNSCHEL M.D (PRESIDENT)
(209) 529-9603
Entity
Organization
Contact information
Practice address
500 COFFEE ROAD, C, MODESTO, CA 95355
(209) 238-0369
(209) 238-9664
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
10/29/2008
Last updated
01/20/2009
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