Provider Demographics
NPI:1720232895
Name:WRONA, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:WRONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 MERCADO ST
Mailing Address - Street 2:STE 220
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7306
Mailing Address - Country:US
Mailing Address - Phone:970-764-3450
Mailing Address - Fax:970-382-6607
Practice Address - Street 1:1 MERCADO ST
Practice Address - Street 2:STE 220
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7306
Practice Address - Country:US
Practice Address - Phone:970-764-3450
Practice Address - Fax:970-382-6607
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7154787-1205208600000X, 208G00000X
CO53530208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7154787-1205OtherSTATE OF UTAH PHYSICIAN AND SURGEON LICENSE