Individual
MAGDALENA WIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47548 SD HIGHWAY 127, ROSHOLT, SD 57260-6404
(701) 893-5436
Mailing address
47548 SD HIGHWAY 127, ROSHOLT, SD 57260-6404
(701) 893-5436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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