Individual
BETHANY ANNE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
14050 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
14050 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1217A
AL
Other
Enumeration date
03/05/2013
Last updated
05/31/2022
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