Individual
KYLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
11500 WAYZATA BLVD # 1074, MINNETONKA, MN 55305-2007
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2987
MN
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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