Individual
MRS. KAISA J WINCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HBCE,CNMT
Contact information
Practice address
228 TERRACE DR SW, WILLMAR, MN 56201-5228
(320) 979-3617
Mailing address
228 TERRACE DR SW, WILLMAR, MN 56201-5228
(320) 979-3617
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3030-08
NH
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
022145
SD
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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