Wenner, Paul M

Wenner, Paul M is an individual health care provider with primary practice located at 1555 Northway Drive Suite 200, St Cloud MN 56303-4913. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wenner, Paul M can be contacted via phone (320) 240-3157.

Contact Information

Primary practice address
1555 Northway Drive Suite 200 St Cloud MN 56303-4913
Phone: (320) 240-3157
Fax: (320) 240-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2604 Minnesota

Profile Details

NPI number 1326097882
LBN Legal business name Wenner, Paul M
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326097882 NPPES
Minnesota MEDICAID 334724900

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