Individual
WILBUR WAYNE KALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1100 2ND ST S, SARTELL, MN 56377-2152
(320) 654-8542
(320) 654-8603
Mailing address
316 16TH AVE SE, SAINT CLOUD, MN 56304-1307
(320) 251-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110370
MN
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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