Individual
SANDRA LYNN LANDWEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6003 HIGHWAY 23 NE, SAUK RAPIDS, MN 56379-7505
(320) 292-7813
Mailing address
6003 HIGHWAY 23 NE, SAUK RAPIDS, MN 56379-7505
(320) 259-6590
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G677037509220
MN
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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