| Organization Name: | CHRISTOPHER J WENNER MD, PA |
| NPI Number: | 1174762330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER J WENNER (PRESIDENT) |
| Mailing Address: | 218 Main St Cold Spring |
| State: | MN US |
| Postal Code: | 56320 |
| Phone Number: | 3206853020 |
| Fax Number: | 3206854462 |
| NPI Enumeration Date: | 02/11/2009 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 46428 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |