Individual
RANDY E WUORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
135 DAHLIA ST, MAHTOMEDI, MN 55115-1632
(651) 653-2089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10143
MN
363A00000X
Physician Assistant
2045
WI
Other
Enumeration date
07/30/2006
Last updated
04/26/2024
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