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PATRICK WICHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
203 4TH ST NW, BAGLEY, MN 56621
(218) 694-6501
Mailing address
3112 CEDAR LN NW, BEMIDJI, MN 56601-4221
(218) 368-3792

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6046
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2018
Last updated
04/18/2022
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