Individual
MRS. TERA ANNE WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3701 12TH ST N #202, ST. CLOUD, MN 56303
(320) 258-3090
Mailing address
15330 42ND ST NE, FOLEY, MN 56329-9214
(320) 345-1776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R177181-7
MN
Other
Enumeration date
04/08/2010
Last updated
03/16/2023
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