Individual
CHRISTA LANE WAYMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50183
MN
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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