Individual
BREANNA T WENTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 847-2557
Mailing address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 847-2557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3140-23
WI
Other
Enumeration date
06/20/2013
Last updated
09/21/2016
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