| Doctor Name: | MR. WILLIAM N. KUNAU |
| NPI Number: | 1063481513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PNP |
| License Number: | 079942-1 |
| Business Practice Address: | 13980 Northdale Blvd Rogers, MN - 553742147 |
| Business Phone Number: | 7634281920 |
| Business Fax Number: | 7634283162 |
| Mailing Address: | 13980 Northdale Blvd, ROGERS |
| State: | MN |
| Postal Code: | 553742147 |
| Phone Number: | 7634281920 |
| Fax Number: | 7634283162 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 09/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 079942-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |