DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW PAUL WONNACOTT, MD

Active

DR. MATTHEW PAUL WONNACOTT, MD is a Family Medicine healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1144214495 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1144214495
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2005 (20.768322792328 yrs)
Last Updated
Jul 21, 2022
License
A64012 (CA)

Practice Information

Address
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA, 961507025
Browse CA providers · Browse ZIP 96150
Phone
5305435623
Fax
5305415738
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
DR. GREGORY WALTER BERGNER MD 1851398671
DR. RICHARD DAVID BOTTO MD 1861499709
DR. BROOKS MARTIN MD 1205834306
DR. HENNING MEHRENS MD 1780682955
DR. PAUL WILLIAM RORK MD 1225036445
ALLISON LEACH MONROE MD 1821098518
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.