Anna Wientjes
Specialist in Detroit Lakes, MN. Individual provider (NPI-1).
NPI number1164025151
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1164025151
- Entity type
- Individual (NPI-1)
- Name
- Anna Wientjes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1104 W River RdDetroit Lakes, MN 56501-2723
Phone 218-844-6853 · Fax 218-844-6854
Mailing address
891 Belsly BlvdMoorhead, MN 56560-5055
Phone 218-287-4338 · Fax 218-287-5928
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All 54 Specialist providers in Detroit Lakes · All 554 providers in Detroit Lakes
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