Individual
MR. DEAN KEVIN WENNERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
6491 BARCLAY AVE, INVER GROVE HEIGHTS, MN 55077-2165
(651) 450-4588
Mailing address
6491 BARCLAY AVE, INVER GROVE HEIGHTS, MN 55077-2165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1026
MN
Other
Enumeration date
12/14/2005
Last updated
05/15/2014
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