Individual
KATHERINE J WYFFELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEPOT DR, WACONIA, MN 55387-1874
(952) 442-2146
Mailing address
121 DEPOT DR, WACONIA, MN 55387-1874
(952) 442-2146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115276
MN
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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