Individual
DR. PHUONG T WIPPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
755 53RD AVE NE, FRIDLEY, MN 55421-1240
(763) 571-9766
Mailing address
6418 37TH AVE N, CRYSTAL, MN 55427-1546
(402) 885-5454
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
121941
MN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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