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Individual

DR. CYNTHIA WETMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PHD

Contact information

Practice address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-5555
Mailing address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-5555

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30348
MS
208000000X
Pediatrics Physician
Primary
44137
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
452400400
MN
Enumeration date
02/03/2006
Last updated
06/06/2023
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