KALLIE JO WENNERBERG

FARGO, ND
NPI1538893920
Former NameKALLIE JO HAUGEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ND  R43359)
Enumeration Date2022-07-12
Last Update Date2023-02-03
Business Address
KALLIE JO WENNERBERG AGNP-C
736 BROADWAY N
FARGO, ND 58102-4421
Phone number: 701-234-2000
Mailing Address
KALLIE JO WENNERBERG AGNP-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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