Individual
SHAWNA WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 34TH ST N, DILWORTH, MN 56529-1801
(218) 233-9833
Mailing address
1108 41ST AVE N, FARGO, ND 58102-5302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119408
MN
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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