Individual
NATHAN WENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 251-2700
Mailing address
5834 325TH ST, CANNON FALLS, MN 55009-7308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1954388
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2326
MN
Other
Enumeration date
02/19/2019
Last updated
03/05/2019
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