Individual
ROBERT WAYNE WENNERSTRAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
(218) 829-4701
Mailing address
12698 MOUNTAIN ASH DR, BAXTER, MN 56425-8387
(218) 825-7564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1157062
MN
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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