IndividualActive
Anna Wientjes
NPI 1164025151 · Specialist · Detroit Lakes, MN
Provider details
- NPI number
- 1164025151
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1104 W River Rd
Detroit Lakes, MN 56501-2723
Phone: (218) 844-6853
Fax: (218) 844-6854
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.