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

DR. DONALD KENNETH WANTUCK, M.D.

Active

Specialist · SPRINGFIELD, MO

Registration Details

NPI Number: 1841480316
Provider Type: Individual
Gender: Male
NPI Issued: Jul 30, 2007 (18.747824263993 yrs)
Last Updated: Apr 6, 2015
License: 29710 (MO)

Practice Information

Address: 1540 E EVERGREEN ST

SPRINGFIELD, MO, 658034300
Browse MO providers · Browse ZIP 65803
Phone: 4178862747
Fax: 4178862774
Primary Specialty: Specialist
174400000X

Other Specialist Providers in SPRINGFIELD, MO

Name	Credential	NPI
DR. MICHAEL S CLARKE	M.D.	1609874569
DR. WAYNE B MILES	MD	1649279282
STEVEN DALE ATWOOD	M. D.	1386643773
DR. CARLA GARRISON	M.D.	1558361659
DR. WILLIAM ROBERT REYNOLDS	M.D.	1154416006
MRS. DEBRA Y TOLLIVER	P.T.	1326100272

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.