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1790760304
WAYNE R KANIEWSKI
EDEN PRAIRIE, MN
NPI
1790760304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 34219)
Enumeration Date
2005-12-07
Last Update Date
2007-07-08
Business Address
Dr. WAYNE R KANIEWSKI M.D.
7905 GOLDEN TRIANGLE DR STE 190
EDEN PRAIRIE, MN 55344-7220
Phone number: 952-993-8615
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Mailing Address
Dr. WAYNE R KANIEWSKI M.D.
6465 WAYZATA BLVD STE 315
ST LOUIS PARK, MN 55426-1728
Phone number:
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