MR. Silas Kfusalu Waindim SR., MR
NPI #1093123044 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1093123044
- Entity Type
- Individual
- Name
- MR. Silas Kfusalu Waindim SR., MR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Credential
- MR
- Enumeration Date
- Jul 22, 2014
- Last Updated
- Jul 22, 2014
Practice Location
- Address
- 8923 GREYSTONE AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-2761
- Phone
- (651) 304-0541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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