Organization
DRS KANYUSIK WIEMERS & RUNCK PA
Active
Organization
DRS KANYUSIK WIEMERS & RUNCK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S KANYUSIK DDS MS (OWNER PARTNER PRESIDENT)
(507) 388-2989
Entity
Organization
Contact information
Practice address
120 E MAIN ST, MANKATO, MN 56001-3501
(507) 388-2989
(507) 388-2985
Mailing address
120 E MAIN ST, MANKATO, MN 56001-3501
(507) 388-2989
(507) 388-2985
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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