Individual
ILSA ANNE SIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
67 10TH AVE S, WAITE PARK, MN 56387-1040
(320) 774-1083
Mailing address
67 10TH AVE S, WAITE PARK, MN 56387-1040
(320) 774-1083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4113
MN
Other
Enumeration date
09/23/2015
Last updated
08/19/2016
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