Organization
CHRISTOPHER J WENNER MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J WENNER MD (PRESIDENT)
(320) 685-3020
Entity
Organization
Contact information
Practice address
218 MAIN ST, COLD SPRING, MN 56320
(320) 685-3020
(320) 685-4462
Mailing address
218 MAIN ST, COLD SPRING, MN 56320
(320) 685-3020
(320) 685-4462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46428
MN
261QP2300X
Primary Care Clinic/Center
46428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313613200
—
MN
Enumeration date
02/11/2009
Last updated
10/24/2012
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