Individual
LISA ASHLEY WENIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
20156 HOME FIRE WAY, LAKEVILLE, MN 55044-6826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11832
MN
Other
Enumeration date
01/26/2015
Last updated
03/17/2018
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