Individual
ADAM M WENNERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11324
MN
363A00000X
Physician Assistant
Primary
2366-23
WI
Other
Enumeration date
08/20/2008
Last updated
09/16/2024
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