DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SILAS KFUSALU WAINDIM SR., MR

Active Sole Proprietor

MR. SILAS KFUSALU WAINDIM SR., MR is a Bus healthcare provider located in COTTAGE GROVE, Minnesota. NPI 1093123044 is currently active in the NPPES registry. Verify at CMS.

Bus · COTTAGE GROVE, MN

Registration Details

NPI Number
1093123044
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2014 (12.0852069415 yrs)
Last Updated
Jul 22, 2014
License
USDOT2493341 (MN)
Sole Proprietor
Yes

Practice Information

Address
8923 GREYSTONE AVE S
COTTAGE GROVE, MN, 550162761
Browse MN providers · Browse ZIP 55016
Phone
6513040541
Primary Specialty
Bus
343900000X

Other Bus Providers in COTTAGE GROVE, MN

Name Credential NPI
FAYINE H WAKO 1790482578
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.