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Individual

NICHOLAS WERTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(952) 881-2651
Mailing address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15233
MN
363A00000X
Physician Assistant
8958
AZ

Other

Enumeration date
02/04/2022
Last updated
05/13/2025
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