Individual
MR. WES PARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20679 STATE HIGHWAY 108, PELICAN RAPIDS, MN 56572-7425
(218) 863-7625
Mailing address
20679 STATE HIGHWAY 108, PELICAN RAPIDS, MN 56572-7425
(218) 863-7625
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49-89552
MEDICA
MN
Enumeration date
03/22/2010
Last updated
03/22/2010
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