DR. Wayne R Kaniewski, M.D.
NPI #1790760304 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1790760304
- Entity Type
- Individual
- Name
- DR. Wayne R Kaniewski, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Dec 7, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7905 GOLDEN TRIANGLE DR
- Address 2
- STE 190
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-7220
- Phone
- (952) 993-8615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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