Individual
KIM WANGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
225
MN
363L00000X
Nurse Practitioner
R 127304-3
MN
Other
Enumeration date
11/22/2013
Last updated
01/30/2024
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