Individual
MRS. DONNA M MEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
538 SUNWOOD PARK DR, WAITE PARK, MN 56387-1815
(302) 203-1484
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7851
MN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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