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
ZIP Code
55344-7220
Phone
(952) 993-8615

Specialties & Taxonomy Codes

Specialty
Family Medicine

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