Individual
CASANDERA KAY WIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7180 10TH ST N, OAKDALE, MN 55128-1122
(651) 242-5890
(651) 731-6207
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP5691
MN
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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