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ANGELA MARIE WISKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2828 CHICAGO AVE, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
Mailing address
18201 JAGUAR PATH, LAKEVILLE, MN 55044-6405
(651) 335-2139

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1471926
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
645265500
MN
01
96G44SE
BCBS
MN
Enumeration date
09/20/2006
Last updated
07/26/2012
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