William Pentz, LADC

NPI 1164679197 · on the registry since 2008 · sole proprietor

Practice

Address: 217 N Union Ave
Fergus Falls, MN 56537
Phone: (218) 739-9084
Fax: (218) 739-0518
Organisation at this address: Lake Region Halfway Homes, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Additional practice sites

222 9th Ave W, Alexandria, MN

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota