Organization
ONE BREAD ONE BODY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BONGERS MD (PRACTICE OWNER)
(507) 301-7602
Entity
Organization
Contact information
Practice address
513 CENTRAL AVE N STE 1, FARIBAULT, MN 55021-4322
(507) 301-7602
(507) 301-7602
Mailing address
513 CENTRAL AVE N STE 1, FARIBAULT, MN 55021-4322
(507) 301-7602
(507) 301-7602
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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