Individual
MRS. TIFFANY RAEANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVENUE NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
6559 WISE LAKE ROAD, BRAINERD, MN 56401-6051
(218) 828-1963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-175193-4
MN
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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