Individual
MRS. ANNETTE LYNN FEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2232 W 24TH ST, DULUTH, MN 55811-3110
(218) 390-8210
(218) 726-1332
Mailing address
2232 W 24TH ST, DULUTH, MN 55811-3110
(218) 390-8210
(218) 726-1332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L045383-5
MN
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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