Individual
BRENT ALAN WOLFSWINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 S 2ND ST, CHEROKEE, IA 51012-1841
(712) 221-9192
(877) 225-0241
Mailing address
PO BOX 475, CHEROKEE, IA 51012-0475
(712) 221-9192
(877) 225-0241
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
C119279
IA
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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