Individual
THOMAS BIENIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1900 CENTRACARE CIR STE 1600, SAINT CLOUD, MN 56303-5000
(320) 229-4900
Mailing address
624 80TH ST NW, RICE, MN 56367-8759
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6689
MN
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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