Individual
WAYNE MICHAEL KELLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
(715) 858-4501
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
(715) 858-4501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11489
WI
Other
Enumeration date
01/12/2022
Last updated
11/10/2022
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