location
search-icon
person
Mrs. Kisuk Bae Wirtz
Licensed Practical Nurse in Detroit Lakes, Minnesota
NPI 1457672800

Kisuk Bae Wirtz is a Licensed Practical Nurse based in Ponsford, MN. Kisuk Bae Wirtz practices in Detroit Lakes, MN. The NPI Number for Kisuk Bae Wirtz is 1457672800 and holds a License No. L48823-7 (Minnesota).

The current practice location address for Kisuk Bae Wirtz is 114 Frazee St E, Detroit Lakes, MN and can be reached out via phone at 218-573-3898.

Location: 114 Frazee St E, Detroit Lakes, MN, 56575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457672800
Provider Name
Kisuk Bae Wirtz
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 Frazee St E, Detroit Lakes, MN, 56575
Phone Number
218-573-3898
Fax Number
Provider Enumeration Date
06/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 Frazee St E
City
Detroit Lakes
State
Minnesota
Zip
56501-3502
Phone Number
218-573-3898
Fax Number
person
Provider Business Mailing Address Details
Address
114 Frazee St E
City
Detroit Lakes
State
Minnesota
Zip
56501-3502
Phone Number
218-573-3898
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L48823-7 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.