Individual
KJERSTEN WING STRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7160
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R140963-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882949700
—
MN
Enumeration date
12/26/2006
Last updated
01/19/2022
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