Individual
GRETCHEN MARY VONRUEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201
(320) 214-2620
(320) 214-2630
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 214-2620
(320) 214-2630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10302
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036871700
—
MN
Enumeration date
12/20/2006
Last updated
07/24/2018
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