Wennersten, Adam M
Wennersten, Adam M is an individual health care provider with primary practice located at 2222 E 5Th St , Superior WI 54880-3709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wennersten, Adam M can be contacted via phone (715) 392-1955.Contact Information
Primary practice address
2222 E 5Th St
Superior WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11324 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2366-23 | Wisconsin |
Profile Details
| NPI number | 1568619682 |
|---|---|
| LBN Legal business name | Wennersten, Adam M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Jan 31st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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