| Drs Kanyusik Wiemers & Runck Pa | |
|
120 E Main St Mankato MN 56001-3501 | |
| (507) 388-2989 | |
| (507) 388-2985 |
| Full Name | Drs Kanyusik Wiemers & Runck Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 120 E Main St, Mankato, Minnesota |
| Authorized Official Name and Position | John S Kanyusik (OWNER PARTNER PRESIDENT) |
| Authorized Official Contact | 5073882989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Kanyusik Wiemers & Runck Pa 120 E Main St Mankato MN 56001-3501 Ph: (507) 388-2989 | Drs Kanyusik Wiemers & Runck Pa 120 E Main St Mankato MN 56001-3501 Ph: (507) 388-2989 |
| NPI Number | 1528059979 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528059979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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