Individual
CASEY WOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22013
MN
207P00000X
Emergency Medicine Physician
57126
WI
Other
Enumeration date
06/30/2009
Last updated
05/13/2019
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