Individual
WENDY A VANDERKOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9114
(507) 537-2757
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9114
(507) 537-2757
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0551
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
R 121998 4
MN
Other
Enumeration date
02/17/2006
Last updated
03/27/2015
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