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Individual

ASHLEE WIEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
201 9TH ST W, ADA, MN 56510-1279
(218) 784-5000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2334
ND

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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