Individual
MRS. GILLIAN GRACE WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(715) 220-1219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2435
MN
Other
Enumeration date
01/21/2020
Last updated
02/12/2020
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