Individual
MS. JOANA KATHRYN WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10913
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609169010
—
MN
Enumeration date
05/17/2011
Last updated
03/17/2018
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