DUSTIN GENE WONDERCHECK

FAITH REGIONAL PHYSICIAN SERVICES LLC

Dr DUSTIN GENE WONDERCHECK is a male medical professional, specializing in Physician Assistant. He graduated in 2016.

Contact

FAITH REGIONAL PHYSICIAN SERVICES LLC

2700 W NORFOLK AVE
NORFOLK
NE
687014438

Tel: 4028448135

DUSTIN GENE WONDERCHECK Information

Npi 1194274548
Pac Id 4183912496
Professional Enrollment Id I20170912002485
Last Name WONDERCHECK
First Name DUSTIN
Middle Name GENE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAITH REGIONAL PHYSICIAN SERVICES LLC
Group Practice Pac Id 5193786168
Number Of Group Practice Members 130
Line 1 Street Address 2700 W NORFOLK AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NORFOLK
State NE
Zip Code 687014438
Phone Number 4028448135
Hospital Affiliation Ccn 1 280065
Hospital Affiliation Lbn 1 GREAT PLAINS HEALTH
Hospital Affiliation Ccn 2 280125
Hospital Affiliation Lbn 2 FAITH REGIONAL HEALTH SERVICES
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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