Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 54643 | MN |
NPI | 1043486590 |
---|---|
Provider Name | Katti Lauren Woerner |
First Address | Minneapolis, MN 55414-2959 |
Second Address | Maple Grove, MN 55369-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 01/05/2014 |