Individual
LAUREN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-4567
(763) 427-9980
Mailing address
4040 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-4567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2590
MN
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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