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Individual

STEPHEN PAUL WHOOLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
219 E LINCOLN AVE, FERGUS FALLS, MN 56537-2236
(218) 739-2217
(218) 739-2443
Mailing address
219 E LINCOLN AVE, FERGUS FALLS, MN 56537-2236
(218) 739-2217
(218) 739-2443

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9505
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
954220500
MN
Enumeration date
04/06/2010
Last updated
05/29/2014
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