| Christopher J Wenner Md, Pa | |
|
218 Main St Cold Spring MN 56320 | |
| (320) 685-3020 | |
| (320) 685-4462 |
| Full Name | Christopher J Wenner Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 218 Main St, Cold Spring, Minnesota |
| Authorized Official Name and Position | Christopher J Wenner (PRESIDENT) |
| Authorized Official Contact | 3206853020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Wenner Md, Pa 218 Main St Cold Spring MN 56320 Ph: (320) 685-3020 | Christopher J Wenner Md, Pa 218 Main St Cold Spring MN 56320 Ph: (320) 685-3020 |
| NPI Number | 1174762330 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 10/24/2012 |
| Medicare PECOS PAC ID | 4688723521 |
|---|---|
| Medicare Enrollment ID | O20090522000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174762330 | NPI | - | NPPES |
| 313613200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46428 (Minnesota) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 46428 (Minnesota) | Secondary |
| Provider Name | Christopher J Wenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225006232 PECOS PAC ID: 9830181551 Enrollment ID: I20040401001279 |
| Provider Name | Suzanne Sara Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300742 PECOS PAC ID: 7315161916 Enrollment ID: I20140623001668 |
Centracare - Cold Spring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Red River Ave N Ste 2, Cold Spring, MN 56320 Phone: 320-685-8641 Fax: 320-685-4020 |