Individual
MARY WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
(763) 633-3800
(763) 633-3808
Mailing address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
(763) 633-3800
(763) 633-3808
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 218387-3
MN
Other
Enumeration date
07/11/2015
Last updated
05/13/2026
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