Individual
GWEN J KROGWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 MARSH ST, MANKATO, MN 56001-4752
(507) 385-4700
Mailing address
1015 MARSH ST, MANKATO, MN 56001-4752
(507) 385-4700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1194
MN
Other
Enumeration date
09/15/2008
Last updated
09/18/2020
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