Individual
WESLEY NATHAN WORMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
(651) 444-8923
Mailing address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
(651) 444-8923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14197
MN
363A00000X
Physician Assistant
2015006472
MO
Other
Enumeration date
03/04/2015
Last updated
05/22/2023
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