Search › Minnesota › 111N00000X
Rena Widboom, D.C
NPI 1922252964 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2112 Lyndale Ave S
Minneapolis, MN 55405 - Phone
- (612) 874-1313
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-26
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