Anna Wientjes

NPI #1164025151 in Detroit Lakes, Minnesota

Provider Information

NPI Number: 1164025151
Entity Type: Individual
Name: Anna Wientjes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 1104 W RIVER RD
City: Detroit Lakes
State: Minnesota
ZIP Code: 56501-2723
Phone: (218) 844-6853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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