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Organization

VANDALIA HEALTH, PLLC

Active
Other names
Dr. Green, Southdale Addiction Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CODY W WENDLANDT MD (MEDICAL DIRECTOR)
(320) 200-9547
Entity
Organization

Contact information

Practice address
2304 WYOMING CT, SARTELL, MN 56377-4562
(320) 200-9547
Mailing address
2304 WYOMING CT, SARTELL, MN 56377-4562
(320) 200-9547

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/18/2018
Last updated
06/16/2018
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