Kenneth Gene Wetjen CRNA

NPI 1194769737 - Religious Nonmedical Nursing Personnel - 374T00000X

NPI Details
NPI 1194769737
Gender Male
Enumeration Date 06/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
601 HIGHWAY 6 W
IOWA CITY IA, 52246-2292, US
Phone (319) 338-0581
Fax
Business Location
18 PHOENIX PL
IOWA CITY IA, 52246-8665, US
Phone (319) 339-0097
Fax
Toxanomy
Taxonomy Code 374T00000X
License State Minnesota
License Number R 094024-1
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According to our database, Mr. Kenneth Gene Wetjen CRNA NPI is 1194769737, taxonomy code is 374T00000X and license number is R 094024-1, license state is located at Minnesota. Kenneth Gene Wetjen CRNA physically located at 601 Highway 6 W, Iowa City IA, 52246-2292. NPI Number Kenneth Gene Wetjen CRNA has the Individual type.

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1194769737 NPI number is provided on an as is basis without warranty of any kind. 1194769737 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Gene Wetjen CRNA are for informational purposes only.