Leonard Trent Wonnenberg, PAC
Surgical Physician Assistant · Huron, SD
Practice location
172 4TH St SEHuron, SD 57350-2510
- Phone
- (605) 353-6200
- Fax
- (605) 353-6300
NPI record
- NPI
- 1609147461
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2012
- Last updated
- January 8, 2025
- Certified
- January 8, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X |
0803 | SD |
Mailing address
172 4TH St SEHuron, SD 57350-2590
- Phone
- (605) 353-6200
- Fax
- (605) 353-6300
About Leonard Wonnenberg
Leonard Trent Wonnenberg, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 172 4TH St SE, Huron, SD 57350-2510. The NPI number 1609147461 was assigned on January 25, 2012 and the record was last updated on January 8, 2025.
Leonard Wonnenberg lists a license in the registry: #0803 (SD) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Leonard Trent Wonnenberg, PAC?
The NPI number is 1609147461.
What is the phone number of Leonard Wonnenberg?
The phone number listed for the practice location is (605) 353-6200.
Where is Leonard Wonnenberg located?
172 4TH St SE, Huron, SD 57350-2510.
What is the taxonomy code for Leonard Wonnenberg?
The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.