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Individual

DON W WENNBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5431
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5431

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18257
MN

Other

Enumeration date
12/02/2005
Last updated
07/08/2007
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