Individual
DR. BETH WILMUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-8750
(218) 365-8789
Mailing address
328 W CONAN ST, ELY, MN 55731-1145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121381
MN
183500000X
Pharmacist
17104
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218-23-8600
—
MN
Enumeration date
12/29/2015
Last updated
12/29/2015
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