Individual
HALBERT WENNGATZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 PLYMOUTH RD, SUITE 100, MINNETONKA, MN 55305-2366
(952) 593-9010
(952) 593-9809
Mailing address
2000 PLYMOUTH RD, SUITE 250, MINNETONKA, MN 55305-2366
(952) 593-9818
(952) 593-5187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27391
MN
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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