JOHANNA E WENNINGER ACOSTA

GRAND FORKS, ND
NPI1588952642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: ND  14008)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.059416)
Enumeration Date2011-07-11
Last Update Date2020-09-24
Business Address
JOHANNA E WENNINGER ACOSTA MD
1200 S COLUMBIA RD
GRAND FORKS, ND 58201-4036
Phone number: 701-780-5000
Mailing Address
JOHANNA E WENNINGER ACOSTA MD
2401 DEMERS AVE
GRAND FORKS, ND 58201-4183
Phone number: 701-780-1891