Individual
JOHANNA E WENNINGER ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.059416
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
14008
ND
Other
Enumeration date
07/11/2011
Last updated
11/17/2025
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