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1639270069
KEVIN R WENTWORTH
DETROIT LAKES, MN
NPI
1639270069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 44499)
Enumeration Date
2006-09-26
Last Update Date
2024-04-30
Business Address
KEVIN R WENTWORTH MD
1027 WASHINGTON AVENUE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
KEVIN R WENTWORTH MD
415 JEFFERSON ST NORTH TRI-COUNTY HEALTH CARE
WADENA, MN 56482-1296
Phone number: 218-631-3510
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