Individual
AARON WADE DORMANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 PINE ST SE, REMER, MN 56672-4498
(218) 536-1183
Mailing address
507 PINE ST SE, REMER, MN 56672-4498
(218) 536-1183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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