Individual
TARA CHRISTINE WESSELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
551 VICTORY AVE APT 326, SARTELL, MN 56377-4796
(320) 894-9745
Mailing address
551 VICTORY AVE APT 326, SARTELL, MN 56377-4796
(320) 894-9745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122010
MN
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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