Individual
MARTHA WATERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 MITCHELL RD STE 100, EDEN PRAIRIE, MN 55344-1900
(612) 924-1476
(952) 224-2284
Mailing address
2219 ARTHUR ST NE, MINNEAPOLIS, MN 55418-3910
(612) 710-0060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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