Individual
DR. CHRISTOPHER J WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 MAIN ST, COLD SPRING, MN 56320-2533
(320) 685-3020
(320) 685-4462
Mailing address
218 MAIN ST, COLD SPRING, MN 56320-2533
(320) 685-3020
(320) 685-4462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN46428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313613200
—
MN
01
—
80013050
MEDICARE
MN
Enumeration date
03/08/2006
Last updated
02/12/2015
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